| NPI | 1083994925 |
|---|---|
| Doing Business As | PELHAM PHARMACY |
| Entity Type | Organization |
| Authorized Contact | IDAYAT ADEWUNMI President 347-574-4754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: PA PP482192) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2022-06-16 |