| NPI | 1578550729 |
|---|---|
| Doing Business As | MOMS PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | RUSS FICHERA Sr VP, CFO 631-870-5126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 021158) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2012-05-09 |