Crystal Run Pharmacy LLC
NPI #1770346793 in Middletown, New York
Provider Information
- NPI Number
- 1770346793
- Entity Type
- Organization
- Organization Name
- Crystal Run Pharmacy LLC
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Feb 1, 2024
- Last Updated
- Feb 2, 2024
Practice Location
- Address
- 731 ROUTE 211 E
- City
- Middletown
- State
- New York
- ZIP Code
- 10941-1445
- Phone
- (845) 692-7628
Authorized Official
- Name
- MRS. SANDRA ANGELA AGNELLO
- Title
- PRESIDENT
- Phone
- (845) 692-7628
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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