| NPI | 1407867120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD TODD LANDRY Member/Pharmacist 607-729-6972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 045763) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2008-06-20 |