| NPI | 1184515918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST EZUE Director Of Pharmacy Services / PIC 516-998-7899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2025-07-10 |
| Last Update Date | 2025-07-10 |