| NPI | 1043600562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN LEVIT Pharmacist 929-777-9677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 033393) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2016-08-10 |