| NPI | 1336837780 |
|---|---|
| Doing Business As | BRENTWOOD PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DIGESH C THAKER Supervising Pharmacist 631-273-3314 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2023-04-25 |