NPI | 1558726182 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN TUCKMAN Manager 718-920-5194 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: NY tbd) |
3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY tbd) | |
Enumeration Date | 2015-12-28 |
Last Update Date | 2015-12-28 |