| NPI | 1932701737 |
|---|---|
| Doing Business As | NYS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RONALD RIVAS Owner 718-684-1595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2020-11-16 |