| NPI | 1740344795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY LEBOVITCH Sp 718-336-2244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 028112) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2022-04-13 |