| NPI | 1568655207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LEVASSEUR President 347-548-4321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AZ Y004773) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2025-06-18 |