| NPI | 1033155585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD LANDRY Member / President 607-727-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 023176) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-08-22 |