| NPI | 1578305306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGNIESZKA LASAK Owner/Pharmacist 347-514-0294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-06-11 |
| Last Update Date | 2024-06-11 |