| NPI | 1851438576 |
|---|---|
| Doing Business As | 90TH ST. PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER A BASSOLINO Owner 212-289-9168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 020550) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2014-08-15 |