| NPI | 1134765548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE JACOBSON Owner/Vice President 516-809-6888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2019-11-20 |