| NPI | 1356871818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL BARON Owner 347-571-1625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 032276) |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2022-07-21 |