| NPI | 1528544095 |
|---|---|
| Former Legal Business Name | PLAZA PHARMACY INC. |
| Entity Type | Organization |
| Authorized Contact | JESSICA BAKER Manager 718-464-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 036758) |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-07-17 |