Organization
FORTEEN STAR ENTERPRISES INC
Active
Other names
CENTRAL AVE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH WALTON PHARMD (DIRECTOR OF PHARMACY OPERATIONS)
(518) 621-7748
Entity
Organization
Contact information
Practice address
65 CENTRAL AVE, ALBANY, NY 12206-3054
(518) 621-7748
(518) 621-7118
Mailing address
346 CENTRAL AVE, ALBANY, NY 12206-2347
(518) 621-7748
(518) 621-7118
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
033537
NY
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
04/16/2015
Last updated
12/11/2019
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