| NPI | 1588900393 |
|---|---|
| Doing Business As | AUTREY PHARMACY 2 |
| Entity Type | Organization |
| Authorized Contact | SRINIVASA TALLA Member 845-392-8254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2012-12-26 |