| NPI | 1144573072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARON GOLDBERGER CEO 917-587-0133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: NY 031500) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 031500) |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: NY 031500) | |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2018-07-18 |