| NPI | 1306686613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MINA SAMUEL Owner/Supervising Pharmacist 845-507-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-05-27 |
| Last Update Date | 2024-05-27 |