| NPI | 1174504765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVA EISNER Sp 718-652-2090 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 022828) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2025-05-20 |