| NPI | 1467770420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAREK MANSOUR SALEH Supervising Pharmacist 914-965-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 030085) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2011-10-29 |