| NPI | 1255507695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJAY PATEL Owner 845-344-4433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 028863) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2017-04-06 |