| NPI | 1023456167 |
|---|---|
| Doing Business As | RL MT. VERNON PHARMACY INC. |
| Entity Type | Organization |
| Authorized Contact | WILLIAM EISENMAN Supervising Pharmacist 914-699-0235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 031872) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2024-12-11 |