| NPI | 1306215983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS HAYDEN Director Of Pharmacy 347-774-7004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 017918) |
| Additional Taxonomies | 3336I0012X Pharmacy Institutional Pharmacy |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2016-03-25 |