| NPI | 1487181012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDANA SIEGEL President 516-719-5919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 035497) |
| Enumeration Date | 2017-05-13 |
| Last Update Date | 2022-07-21 |