| NPI | 1063986495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREAS P XANTHOPOULOS Pharmacist In Charge 212-567-1115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-01-19 |