| NPI | 1407854623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRA LISOGORSKY Pres 718-441-2345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 014505) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2017-02-21 |