| NPI | 1982940763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICKY LEGAKIS Supervising Pharmacist 718-448-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2012-12-23 |
| Last Update Date | 2022-01-31 |