| NPI | 1932466067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN BOLEY R.Ph./Pharmacy Supervisor 917-628-6488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: NY 031180) |
| Additional Taxonomies | 3336S0011X Pharmacy Specialty Pharmacy |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2012-04-13 |