| NPI | 1922040716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN F GROSSO Owner 718-547-3706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 008774) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2008-02-26 |