| NPI | 1891120945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN RABBIN Supervising Pharmacist 518-225-3297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2013-09-09 |