Crystal City Apothecary LLC

NPI #1639111412 in Waverly, New York

Provider Information

NPI Number
1639111412
Entity Type
Organization
Organization Name
Crystal City Apothecary LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jun 13, 2006
Last Updated
Dec 22, 2010

Practice Location

Address
443 CAYUTA AVE
ZIP Code
14892-1506
Phone
(607) 565-2390

Authorized Official

Name
DONALD SASSMAN, RPH
Title
OWNER AND PIC
Phone
(607) 565-2390

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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