| NPI | 1629155361 |
|---|---|
| Doing Business As | COMMUNITY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GINA CORNACCHIO Supervising Pharmacist 845-278-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 019063) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2017-01-18 |