| NPI | 1508247131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW MICHAEL LYSOGORSKI Staff Pharmacist 518-641-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 059357) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2015-06-09 |