| NPI | 1225623572 |
|---|---|
| Doing Business As | STATE UNIVERSITY OF NEW YORK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY KOSTALOS Director Of Reimbursement 718-826-4911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2022-02-16 |