| NPI | 1215311204 |
|---|---|
| Doing Business As | FILL HERE |
| Entity Type | Organization |
| Authorized Contact | JOSEPH LASALA President 718-968-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 033569) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2016-03-02 |