| NPI | 1134760143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY LEE Supervising Pharmacist 212-581-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2023-02-07 |