| NPI | 1295875128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE JACOBSON Head Pharmacist 516-931-1481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 025594) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2017-09-13 |