| NPI | 1386779460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROTHSTEIN Supervising Pharmacist 212-369-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 025078) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2019-01-04 |