| NPI | 1639590839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOLITTA KATANOFF President 718-529-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2013-12-15 |
| Last Update Date | 2021-03-09 |