| NPI | 1982006524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A HAYNES Owner 718-363-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 033047) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2015-08-27 |