| NPI | 1174985485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC BALMIR Chief Of Pharmacy 718-780-5575 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 040428) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: NY 490107010016415) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2016-03-25 |