| NPI | 1992737993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT GUISINGER VP Pharmacy 518-379-1618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 022990) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2025-04-17 |