| NPI | 1609085026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FANNE GOODMAN Supervising Pharmacist 212-927-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 027346) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2008-02-13 |