| NPI | 1881845865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMAS DIAZ President 631-299-0213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 028890) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2017-02-17 |