| NPI | 1508686270 |
|---|---|
| Doing Business As | NYS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RONALD RIVAS Owner 718-684-1595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2024-10-16 |