| NPI | 1730270083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAZANIN GANJIAN Supervising Pharmacist 516-377-4050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 049252) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2008-02-15 |