| NPI | 1326567942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE LOTTI Manager 718-528-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 035697) |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2022-07-21 |