| NPI | 1295256493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM BROWNSTEIN Supervising Pharmacist 917-887-4050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 033315) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2022-07-21 |