| NPI | 1770677189 |
|---|---|
| Doing Business As | MEDICAP PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KENNETH BALASIANO Pres 845-897-0636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 026853) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2013-01-03 |