| NPI | 1073111951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MENATALLA SAAD Supervising Pharmacist 929-269-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2022-05-05 |