| NPI | 1225410145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE LENTINI Supervising Pharmacist 718-778-8750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 033605) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 3336M0003X Pharmacy, Managed Care Organization Pharmacy | |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2015-06-27 |
| Last Update Date | 2022-05-13 |