NPI | 1598828121 |
---|---|
Doing Business As | MYRTLE PHARMACY INC |
Entity Type | Organization |
Authorized Contact | DAVID LEYBENGRUB President 718-237-4444 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 027115) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-12-18 |
Last Update Date | 2014-10-23 |