NPI | 1417301706 |
---|---|
Doing Business As | NUEVA LUZ PHARMACY INC |
Entity Type | Organization |
Authorized Contact | DIANA RESTREPO President 718-406-9040 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 034767) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2016-04-22 |
Last Update Date | 2016-07-14 |