| NPI | 1669661237 |
|---|---|
| Doing Business As | 2ND STREET PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL P MORAN President And CEO 631-547-6520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2007-10-19 |