| NPI | 1306930714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER WILLIAMS Bookkeeper 718-991-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 027217) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-06-18 |