NPI | 1063529782 |
---|---|
Doing Business As | KINNEY DRUGS #19 |
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 013487) |
Enumeration Date | 2006-08-25 |
Last Update Date | 2024-07-03 |