| NPI | 1407949159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD W COLLURO Supervising Pharmacist 718-821-1313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 015364) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-02-07 |