# KEYSTONE PHARMACY NEW YORK LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043153893
- **Authorized official:** LAUREN CANTRELL (CHIEF COMPLIANCE OFFICER)
- **Authorized official phone:** (601) 707-9727

## Contact information

- **Practice address:** 350 JORDAN RD STE 2, TROY, NY 12180-8358
- **Practice address phone:** (601) 707-9727
- **Mailing address:** 350 JORDAN RD STE 2, TROY, NY 12180-8358

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 04/14/2026
- **Last updated:** 04/14/2026