| NPI | 1598813594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT WOLK President Phcst 631-424-0492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 011216) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |