| NPI | 1619195898 |
|---|---|
| Other Name | QUEENS WAKEFIELD PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ROBERT THOMAS MASON Pharmacist 718-843-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 30920) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2023-03-07 |