NPI | 1487996377 |
---|---|
Doing Business As | KINNEY DRUGS #108 |
Entity Type | Organization |
Authorized Contact | LISA L WEIR Third Party Administrator 315-287-3600 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 031874) |
Enumeration Date | 2013-03-19 |
Last Update Date | 2014-04-04 |