| NPI | 1285566950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREEN MARKLAND PIC 718-513-5889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2026-05-29 |
| Last Update Date | 2026-05-29 |