| NPI | 1821379298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN SCHABEL General Manager 631-870-5129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2011-08-30 |