| NPI | 1376657353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID RESTEPO Secretary 212-628-1110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 027558) |
| Additional Taxonomies | 3336S0011X Pharmacy Specialty Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2016-02-05 |