| NPI | 1922451970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD PACHUCKI Pharmacist 518-944-0239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CT 0013851) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2016-07-14 |