| NPI | 1093866980 |
|---|---|
| Doing Business As | DBA THE PHARMACY SHOP |
| Entity Type | Organization |
| Authorized Contact | KIM ANTHONY TENREIRO Secretary Jetkat Inc. 585-396-9970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: NY 22695) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: NY 022695) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2023-03-07 |