| NPI | 1851941959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDALIS ANTIGUA Managing Member/ Secretary 347-794-0531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2019-09-19 |