NPI | 1235656018 |
---|---|
Doing Business As | KINNEY DRUGS #132 |
Entity Type | Organization |
Authorized Contact | ELIZABETH M MARLOW Third Party Administrator 315-287-3600 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2017-08-23 |
Last Update Date | 2024-07-03 |