| NPI | 1083884928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEN LA PINTA Supervisor 631-586-4317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 45701) |
| Additional Taxonomies | 282E00000X (Licence: NY 45701) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-03-06 |