NPI | 1215448857 |
---|---|
Doing Business As | CRESTWOOD PHARMACY - LTC |
Entity Type | Organization |
Authorized Contact | JAGAT J PATEL President 518-435-2315 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: NY 026944) |
Enumeration Date | 2017-10-23 |
Last Update Date | 2022-08-22 |