| NPI | 1447527775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS L FATA President 718-793-6747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 031095) |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2022-04-18 |