| NPI | 1376773473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIWATOPE ONASANYA Pharmacist In Charge 914-631-7266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: NY BP1914565) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2009-07-23 |