| NPI | 1699076109 |
|---|---|
| Doing Business As | PROSPECT HEALTH PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ARIE BOLSHEM President 718-287-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 030368) |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2011-09-28 |