| NPI | 1376069492 |
|---|---|
| Doing Business As | BRICK CHURCH PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KENNETH SENELORM Supervising Pharmacist 646-228-2311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2022-04-07 |