| NPI | 1063671352 |
|---|---|
| Doing Business As | C/O OUTPATIENT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RANDALL J NOVAK Pharmacy Supervisor 212-636-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 281P00000X Chronic Disease Hospital (Licence: NY 028893) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2008-06-03 |