| NPI | 1689127383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER FERNANDEZ Owner/Pharmacist 917-832-6095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 034802) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2022-07-01 |