| NPI | 1366259988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA MIZRAHI Supervising Pharmacist/Owner 917-991-5380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-12-17 |
| Last Update Date | 2025-02-14 |