| NPI | 1619419025 |
|---|---|
| Former Legal Business Name | PHARMACY AT THE WAVE INC |
| Entity Type | Organization |
| Authorized Contact | MARK SHPRINZES Pres 718-891-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 035052) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2017-03-08 |