| NPI | 1306261169 |
|---|---|
| Doing Business As | 52ND STREET PHARMACY |
| Entity Type | Organization |
| Authorized Contact | OLALEKAN ABIFARIN Owner 267-713-7066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: PA PP482438) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2014-08-01 |