| NPI | 1164566154 |
|---|---|
| Doing Business As | BLOOMING GROVE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARTIN TEICH President 845-782-2260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 020555) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2015-01-07 |