| NPI | 1538742622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC NEWHOUSE Owner 845-624-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2022-06-08 |