| NPI | 1154103737 |
|---|---|
| Doing Business As | VISTA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | VIVIAN MOORE Manager 516-304-5520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2024-02-15 |