| NPI | 1073850715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE M SHERMAN Supervising Pharmacist 845-467-4064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 031701) |
| Additional Taxonomies | 251F00000X Home Infusion (Licence: NY 031701) |
| 333600000X Pharmacy (Licence: NY 031701) | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: NY 031701) | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: NY 031701) | |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2020-10-28 |