| NPI | 1871581298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD C PETERS Owner/Pharmacist In Charge 718-821-3271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 008243) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2024-08-28 |