Organization
PRINCETON ADVANCED TECHNOLOGIES LLC
Active
Other names
Schodack Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AUGUSTINE BARRANCA (PHARMACIST / OWNER)
(518) 512-5181
Entity
Organization
Contact information
Practice address
81 MILLER RD, SUITE 700, CASTLETON, NY 12033-4035
(518) 512-5181
(518) 512-5184
Mailing address
81 MILLER RD, SUITE 700, CASTLETON, NY 12033-4035
(518) 512-5181
(518) 512-5184
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
029581
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3361829
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/15/2009
Last updated
03/31/2010
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