| NPI | 1932513819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN BRYANT VP Of Pharmacy 518-379-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 032984) |
| Additional Taxonomies | 3336S0011X Pharmacy Specialty Pharmacy |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2018-07-19 |