| NPI | 1134167125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLY TSIEN Supervising Pharmacist 212-226-8971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 022843) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2023-03-07 |