| NPI | 1144220427 |
|---|---|
| Doing Business As | BEACH HAVEN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARC H LIPP President 718-648-5999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 018208) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2013-05-02 |