| NPI | 1134236318 |
|---|---|
| Doing Business As | KINNEY DRUGS #58 |
| Entity Type | Organization |
| Authorized Contact | LISA L WEIR Third Party Administrator 315-287-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: VT 0380003314) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2014-04-04 |