| NPI | 1497842694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PETRATOS VP 718-236-5705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: NY 017831) | |
| Enumeration Date | 2006-10-07 |
| Last Update Date | 2024-11-15 |