ABA NOUB LTD
216 W 72nd St
New York, NY 10023
212-875-1718
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | NY |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
01385515 | NY | MEDICAID |