| NPI | 1225504186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJIV DHADWAL Chief Compliance Officer/Authorized 631-815-5821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2020-02-06 |