NPI | 1215174834 |
---|---|
Doing Business As | KINNEY DRUGS #98 |
Entity Type | Organization |
Authorized Contact | LISA L WEIR Third Party Administrator 315-287-3600 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2009-01-20 |
Last Update Date | 2014-04-04 |