| NPI | 1033573076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACLYN PRISCO President 646-806-6480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2017-01-20 |