| NPI | 1912995291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA M MATTOS Supervising Pharmacist / Owner 914-965-3049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 013192) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2008-04-22 |