| NPI | 1952962151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB GREENFELD Supervising Pharmacist 646-791-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2024-12-27 |