Organization
CRESTWOOD HEALTH INC
Active
Parent organization
CRESTWOOD HEALTH INC
Other names
Crestwood Pharmacy - LTC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CRESTWOOD HEALTH INC
Authorized official
JAGAT J PATEL PHARMD (PRESIDENT)
(518) 435-2315
Entity
Organization
Contact information
Practice address
26 PICOTTE DR, ALBANY, NY 12208-1710
(518) 435-2315
(518) 435-2323
Mailing address
26 PICOTTE DR, ALBANY, NY 12208-1710
(518) 435-2315
(518) 435-2323
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
026944
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02630459
—
NY
Enumeration date
10/23/2017
Last updated
08/22/2022
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