| NPI | 1528469988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBI BARBER Director Of Pbm Relations 315-287-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2015-01-12 |