| NPI | 1316095318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC KLEIN Owner, PIC, AO 914-948-4818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 027735) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2015-12-21 |