| NPI | 1275674376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL ANTONIO MENDEZ Supervising Pharmacist 212-781-6314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 018799) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2008-11-03 |