| NPI | 1952836009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY PAFOS Manager 718-465-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2017-05-01 |