| NPI | 1508654971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW ANTHONY FYNE Pharmacy Manager 718-710-8432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2025-04-28 |
| Last Update Date | 2025-06-16 |