| NPI | 1497770952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE MCFARLANE Administrator 3 Rd Party De PT 212-356-5227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NJ 005680) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-08-22 |