| 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 |