| NPI | 1023997798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA MARIE HOTALING Director, Pharmacy Service 518-653-9574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy |
| Enumeration Date | 2025-08-28 |
| Last Update Date | 2025-08-28 |