| NPI | 1285010215 |
|---|---|
| Doing Business As | TARRYTOWN SPECIALTY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARK NEWBERRY Managing Member 512-617-3530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: TX 31564) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: TX 31564) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 31564) | |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2019-01-09 |