| NPI | 1780736595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WIENER Supervising Pharmacist 212-517-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 017952) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |