| NPI | 1972708758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN BRYANT VP Of Pharmacy 518-379-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CT PCY00002094) |
| Additional Taxonomies | 3336S0011X Pharmacy Specialty Pharmacy |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2015-07-24 |