| NPI | 1336713064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KINJAL PATEL Member 845-559-7607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2021-05-17 |