| NPI | 1205849635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN BRYANT VP Of Pharmacy 518-379-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 021393) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2015-07-22 |