NPI | 1326684069 |
---|---|
Entity Type | Organization |
Authorized Contact | RAJIV DHADWAL Chief Compliance Officer 631-815-5821 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2019-11-18 |
Last Update Date | 2019-11-18 |