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 |