| NPI | 1265841498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE LEIGH CONKLIN Pharmacist 607-765-5079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 23839) |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2014-08-13 |