NPI | 1790018612 |
---|---|
Doing Business As | WYCKOFF PHARMACY INC |
Entity Type | Organization |
Authorized Contact | MOHAMMAD RANA Supervising Pharmacist 718-381-6200 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 029785) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2009-09-10 |
Last Update Date | 2018-07-19 |