| NPI | 1235095928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAYWOOD HAWTHORNE Managing Member 914-433-6876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2025-12-26 |
| Last Update Date | 2026-02-23 |