| NPI | 1073078325 |
|---|---|
| Doing Business As | STAYWELL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SADATHULLA SHAREEF Owner/President 516-859-4292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2020-05-08 |