| NPI | 1811009822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY STOPA AO 845-342-5566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 020046) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-12-09 |