| NPI | 1932975497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIANNE MARIE WEISS Owner/Pharmacist 631-828-9936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2023-11-27 |