| NPI | 1992141030 |
|---|---|
| Doing Business As | CENTENNIAL PHARMACY-QUEEN VILLAGE |
| Entity Type | Organization |
| Authorized Contact | JOSEPH DYMOWSKI President/Owner 267-324-5347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP482369) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2015-11-23 |