NPI | 1316343726 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID FAOUR Owner 917-498-1566 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 033314) |
Enumeration Date | 2014-11-12 |
Last Update Date | 2024-08-06 |