Organization
CRYSTAL RUN PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA ANGELA AGNELLO (PRESIDENT)
(845) 692-7628
Entity
Organization
Contact information
Practice address
731 ROUTE 211 E, MIDDLETOWN, NY 10941-1445
(845) 692-7628
(845) 692-7644
Mailing address
731 ROUTE 211 E, MIDDLETOWN, NY 10941-1445
(845) 692-7628
(845) 692-7644
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
02/01/2024
Last updated
02/02/2024
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