| NPI | 1013203074 |
|---|---|
| Doing Business As | KINNEY DRUGS #105 |
| Entity Type | Organization |
| Authorized Contact | LISA L WEIR Third Party Administrator 315-287-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VT 0380077454RPPP) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2018-10-29 |