| NPI | 1134299548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE E HENRY Corporate Officer 718-542-0440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 019422) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2008-02-28 |