| NPI | 1609871441 |
|---|---|
| Doing Business As | MEDICAL CENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SRINIVASA TALLA Managing Member 845-392-8254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 29611) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2021-08-24 |