| NPI | 1578623047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR DEVAGNO Pharmacist, Owner 718-278-5454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: NY 024120) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |