| NPI | 1245012699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAN GUTTMAN President 917-575-2231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2024-12-13 |