| NPI | 1437770310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY TEOH Pharmacist 917-563-1079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2022-03-31 |