| NPI | 1154370369 |
|---|---|
| Doing Business As | MOMS SPECIALTY CARE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GLENN G SCHABEL General Manager 631-870-5129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH 18786) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2023-03-07 |