| NPI | 1023625548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AELLA SHABUNEUSKAYA Product Manager 516-448-9089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |