| NPI | 1063824852 |
|---|---|
| Doing Business As | LOURDES PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GREGG HAYTON CFO 607-798-5285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 032604) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2014-05-28 |