| NPI | 1952680894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ZHONG-LAU Supervising Pharmacist 212-882-1329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2021-09-22 |