NPI | 1386034981 |
---|---|
Doing Business As | AUTREY PHARMACY 3 |
Entity Type | Organization |
Authorized Contact | SRINIVASA TALLA Managing Member 845-392-8254 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 29681) |
Enumeration Date | 2015-02-03 |
Last Update Date | 2021-09-02 |