| NPI | 1124743497 |
|---|---|
| Doing Business As | MEDICINE PARK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RAVIKUMAR SOMEPALLI Owner 845-561-5253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2023-01-25 |