| NPI | 1619259793 |
|---|---|
| Doing Business As | ST TERESA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ANTHONY OVALLES President 646-413-5795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2011-10-15 |