| NPI | 1649366188 |
|---|---|
| Doing Business As | GIFFORD & WEST PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SAMBASIVA VENIGALLA President 315-471-4139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 016567) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2017-02-20 |