| NPI | 1760162903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BINCY VARGHESE Corporate Compliance Officer 631-359-9711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2023-07-21 |
| Last Update Date | 2024-01-09 |