Organization
KEYSTONE PHARMACY NEW YORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN CANTRELL (CHIEF COMPLIANCE OFFICER)
(601) 707-9727
Entity
Organization
Contact information
Practice address
350 JORDAN RD STE 2, TROY, NY 12180-8358
(601) 707-9727
Mailing address
350 JORDAN RD STE 2, TROY, NY 12180-8358
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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