| NPI | 1326684069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BINCY VARGHESE Director Of Compliance 631-359-9711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2024-10-17 |