| NPI | 1003777335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARIQ SERAJ Supervising Pharmacist 518-258-1068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2025-11-18 |
| Last Update Date | 2026-01-08 |