| NPI | 1962494617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYA KURTZ Owner 516-931-1099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 019244) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2017-02-20 |