| NPI | 1578838058 |
|---|---|
| Doing Business As | LAUREL HEIGHTS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ANNAPURNA MADDALI Officer 917-769-8014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: TX 1935) |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2012-03-21 |