| NPI | 1174692065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEIRDRE LAPHAUN SALAMAN Vice President 718-502-9265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: NY 027765) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |