| NPI | 1871218537 |
|---|---|
| Doing Business As | EAST BURNSIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CECILIA SILFA President 917-538-1987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2022-10-05 |