| NPI | 1598599847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKLYN D BLINSHTEYN Supervising Pharmacist 718-837-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2024-08-29 |