| NPI | 1689141574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE GRECO Supervising Pharmacist 646-739-8428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2020-05-13 |