| NPI | 1205284817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANO PINEDA Owner 917-407-7993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: NY 034650) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 034650) |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2018-03-29 |