NPI | 1104852821 |
---|---|
Doing Business As | WOODHAVEN PHARMACY |
Entity Type | Organization |
Authorized Contact | JOSEPH TESTA Owner 718-846-7777 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 023626) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-06-24 |
Last Update Date | 2013-10-14 |