| NPI | 1053725648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY TOMPKINS Pharmacist 518-788-7045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MA PH234969) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-06-11 |