| NPI | 1790825958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMON FIELD Pharmacist 718-449-5177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 028471) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2008-02-28 |