| NPI | 1023332319 |
|---|---|
| Doing Business As | RANDALL MANOR PHARMACY & SURGICALS |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS AMAXAS Pharmacist/Owner 718-720-2324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 030142) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2014-11-03 |