| NPI | 1497264899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYUR PATEL Member 845-292-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VT 038.0129187) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2018-04-18 |