| NPI | 1710325121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY GEORGE Supervising Pharmacist 646-476-9622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 031765) |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2013-06-07 |