| NPI | 1053423780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK AGRES Supervisor 718-232-2320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 026922) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2017-09-21 |