| NPI | 1386742294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY DITTENHOEFER Owner/Pharmacist 845-471-6440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 025253) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2023-03-07 |