| NPI | 1134659659 |
|---|---|
| Doing Business As | PELHAM PHARMACY |
| Entity Type | Organization |
| Authorized Contact | IDAYAT ADEWUNMI Owner 347-547-4754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: PA PP482192) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2017-06-18 |