| NPI | 1134179815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESITA VISAYA Sp 212-279-3232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 027411) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2020-08-22 |