| NPI | 1104965631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN MITCHELL KAUFMAN Supervising Pharmacist 212-581-0602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 19276) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |