| NPI | 1811939697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL LOOK Phcy Director 212-423-6555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 006588) |
| Additional Taxonomies | 3336I0012X Pharmacy, Institutional Pharmacy |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-08-22 |