NPI | 1093757874 |
---|---|
Doing Business As | CLASSIC PHARMACY INC |
Entity Type | Organization |
Authorized Contact | EDWARD BRANCALE President 718-727-0022 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 021293) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-06-13 |
Last Update Date | 2016-01-20 |