| NPI | 1043307242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB JAMRON CEO 718-991-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 027296) |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2006-10-07 |
| Last Update Date | 2025-07-30 |