| NPI | 1982074779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MURILLO Pharmacy Manager 212-639-2206 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 033938) |
| Additional Taxonomies | 3336C0002X Pharmacy Clinic Pharmacy |
| 3336I0012X Pharmacy Institutional Pharmacy | |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2024-03-19 |