| NPI | 1740459197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATE C SO Supervising Pharmacist 212-675-1697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: NY 022581) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-02-29 |