| NPI | 1356224513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY BELLIVEAU-FLORES Chief Executive Officer 315-759-3759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2025-07-28 |
| Last Update Date | 2025-07-28 |