| NPI | 1710420294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL B PAGNOTTA Pharmacist 518-694-7213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 034959) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2025-07-15 |