| NPI | 1609632132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOSHE COHEN Supervising Pharmacist 718-806-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2024-02-22 |
| Last Update Date | 2024-12-20 |