| NPI | 1629563465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WIESLAW SKOWRON President 631-940-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: NY 036667) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |