| NPI | 1326135294 |
|---|---|
| Doing Business As | SPAN AM PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MANISH PATEL Pharm/Clerk 718-401-6778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 026777) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |