| NPI | 1881922318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL EDELSTEIN Supervising Pharmacist 718-701-6206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 0541491) |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2009-11-20 |