| NPI | 1558728006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRNA AMOY PEART Pharmacist 345-559-9619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY I057884) |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2023-08-22 |