| NPI | 1760669261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BERMAN Tres. 718-638-5055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 015396) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2008-01-28 |