| NPI | 1134536139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBI BARBER Director Of Pbm Relations 315-287-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2021-02-10 |