| NPI | 1851595904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEI (TRISTAN) LIU Corp. Officer 212-748-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 028411) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2022-10-31 |