| NPI | 1508028390 |
|---|---|
| Doing Business As | MOMS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DONNA TEMPESTA VP Of Finance 631-547-6520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: WA CF60029140) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2012-09-05 |