| NPI | 1013024298 |
|---|---|
| Doing Business As | KINNEY DRUGS #54 |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH M MARLOW Third Party Administrator 315-287-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: NY 024249) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2024-07-03 |