| NPI | 1013211507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD ULLMANN Pharmacy District Manager 845-514-4137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 016620) |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2010-12-27 |