| NPI | 1962249748 |
|---|---|
| Doing Business As | BLOOMING GROVE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BRACHA EKSTEIN CEO 845-775-4175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2025-09-28 |