| NPI | 1568640522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE PALLOTTA Registered Pharmacist 518-346-4063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: NY 031885) |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2008-02-01 |