| NPI | 1588862965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNIL MASSON President 631-366-2840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 028452) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2020-08-22 |