| NPI | 1295987931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BINCY VARGHESE Corporate Compliance Officer 631-359-9711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MO 2008030421) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2023-08-25 |