| NPI | 1073099776 |
|---|---|
| Doing Business As | MORRIS AVE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SAM JACOB Sp 718-292-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2023-11-03 |