| NPI | 1699098889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE MCTAGUE Staff Pharmacist 518-357-0061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: NY 030927) |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2010-03-02 |