| NPI | 1144642265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH LASALA Secretary 718-456-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 032493) |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2014-09-16 |