| NPI | 1710420294 |
|---|---|
| Doing Business As | COLLEGE PARKSIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DAVID KILE Executive Director Of Cepd 518-694-7346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 034959) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2019-08-07 |