| NPI | 1235187956 |
|---|---|
| Doing Business As | MOMS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DONNA TEMPESTA VP Of Finance 631-547-6520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY50165) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2012-08-31 |