| NPI | 1194861104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINAY WALTER Rph 212-283-6623 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 015978) |
| 333600000X Pharmacy | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2023-08-23 |