| NPI | 1487728788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIEGO PALER Vice Pres Sup Pharmacist 718-585-7158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 015592) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |