| NPI | 1194284893 |
|---|---|
| Doing Business As | MENS HEALTH OF SMITHTOWN |
| Entity Type | Organization |
| Authorized Contact | BRIAN MICHAEL KAUFMAN Presadent 631-343-7880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2019-09-07 |