| NPI | 1396422630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM NORMAN SABIN Owner/Pharmacist 718-300-7514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2024-06-21 |