| NPI | 1245086552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINNEI DAM Chief Pharmacy Officer 347-610-9820 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2024-04-26 |
| Last Update Date | 2024-04-26 |