| NPI | 1700908829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY CARROLL LILLY Supervising Pharmacist 718-858-7200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: NY 023180) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2019-03-11 |