| NPI | 1184635724 |
|---|---|
| Doing Business As | CORAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ALFRED LICCIARDELLO Supervising Pharmacist 212-795-3894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: NY 027845) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2008-02-21 |