| NPI | 1194531020 |
|---|---|
| Doing Business As | BURNSIDE PHARMACY LTC |
| Entity Type | Organization |
| Authorized Contact | VARGHESE ABRAHAM Vice President/Pharmacist 718-731-8505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-12-05 |
| Last Update Date | 2024-12-05 |