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 |