| NPI | 1598269383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVIS SEBASTIAN Pharmacy Manager/Owner 845-323-1923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-03-19 |