| NPI | 1699766121 |
|---|---|
| Doing Business As | MYRTLE AVE. PHARMACY |
| Entity Type | Organization |
| Authorized Contact | HOWARD S. FEDER Supervising Pharmacist 718-453-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 018228) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2008-02-05 |