| NPI | 1154535110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS ANTONIO PEREZ Manager 212-281-9410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 017113) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |