| NPI | 1467900860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTNEY COLEMAN President 917-688-1102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 031218) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-12-18 |