| NPI | 1669526570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT GRANDELLI Owner 718-645-2565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 027006) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-09-13 |