| NPI | 1982756029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYER MALTZ Pharmacy Manager 718-436-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 3370640) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2008-02-03 |