Crystal City Apothecary LLC

NPI #1790566305 in Waverly, New York

Provider Information

NPI Number
1790566305
Entity Type
Organization
Organization Name
Crystal City Apothecary LLC
Primary Specialty
Pharmacy - Long Term Care Pharmacy
Enumeration Date
Oct 10, 2023
Last Updated
Oct 10, 2023

Practice Location

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

Authorized Official

Name
MR. DONALD W GUTHRIE ROBERT PACKER HOSPITAL, RPH
Title
MEMBER
Phone
(160) 756-5239

Specialties & Taxonomy Codes

Specialty
Pharmacy - Long Term Care PharmacyLong Term Care Pharmacy

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