| NPI | 1649754904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLYJEAN RAYMOND-JOSEPH Pharmacist 718-355-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2023-05-17 |