| NPI | 1467697623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONRAD JOSEPH SIDOTI Registered Pharmacist 718-984-0477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 28026) |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2008-12-02 |