| NPI | 1144337320 |
|---|---|
| Doing Business As | KINNEY DRUGS #11 |
| 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 0380001466) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2024-02-29 |