| NPI | 1861750523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC BOKMAN President 718-236-2747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 031140) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2016-10-14 |