NPI | 1528140316 |
---|---|
Doing Business As | VADALA PHARMACY INC |
Entity Type | Organization |
Authorized Contact | WILLIAM HALSTEAD Owner 845-691-7671 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 019237) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2006-10-20 |
Last Update Date | 2010-02-03 |