| NPI | 1528155777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SAVKUB Supervising R Ph CFO 718-934-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 047113) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2023-03-07 |