| NPI | 1023422813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA ALCALA President 631-796-6415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 032917) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2014-10-16 |