| NPI | 1326820978 |
|---|---|
| Former Legal Business Name | ST RAPHAEL PHARMACY INC |
| Doing Business As | ST RAPHAEL CHEMISTS |
| Entity Type | Organization |
| Authorized Contact | JOSE MONTOYA Owner 718-424-4538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2023-12-20 |