| NPI | 1386031334 |
|---|---|
| Doing Business As | CENTRAL AVE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SARAH WALTON Director Of Pharmacy Operations 518-621-7748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 033537) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2019-12-11 |