| NPI | 1811013824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK P SOSNOWSKI Director 718-920-4529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 012551) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 012551) |
| 3336I0012X Pharmacy, Institutional Pharmacy (Licence: NY 012551) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |