| NPI | 1598240186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED BERKOVITS Sec. Treas 718-436-6088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2018-10-29 |