| NPI | 1376546820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS CHRISTOPHER SUTHERLAND Pharmacist 718-768-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 019466) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 019466) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: NY 019466) | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2005-05-28 |
| Last Update Date | 2018-02-27 |