| NPI | 1801280110 |
|---|---|
| Doing Business As | COUNTRY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | HASMUKHKUMAR PATEL Pharmacy Supervisor 518-280-0526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 033478) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2015-03-25 |