| NPI | 1295836898 |
|---|---|
| Doing Business As | CRESTWOOD PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JAGAT J. PATEL Supervising Pharmacist 518-435-2315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 026944) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2022-08-22 |