| NPI | 1760223382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | A.D. WALLACE Sp 212-722-5222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2024-06-06 |