| NPI | 1932556032 |
|---|---|
| Doing Business As | MAIN STREET PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TALHA AZEEM President 914-235-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 034514) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2017-01-18 |