| NPI | 1013164524 |
|---|---|
| Former Legal Business Name | BROOKS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KATE E SMULLEN Pharmacist 518-588-8336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA 27536) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2008-08-26 |