| NPI | 1467314468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER M Pharmacist 718-973-9722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2025-11-27 |
| Last Update Date | 2025-11-27 |