NPI | 1306376041 |
---|---|
Doing Business As | PELHAM PHARMACY |
Entity Type | Organization |
Authorized Contact | IDAYAT ADEWUNMI Owner/President 347-574-4754 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: PA PP482192) |
Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
Enumeration Date | 2017-06-15 |
Last Update Date | 2022-07-21 |