| NPI | 1033145735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD AHRENS Supervising Pharmacist 212-879-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 025580) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2008-12-16 |