| NPI | 1194499343 |
|---|---|
| Former Legal Business Name | 77 PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | JAE LEE Supervising Pharmacist 718-898-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2023-03-15 |