| NPI | 1699760298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN SIGNOR Registered Phamacist 315-782-5961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 015555) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 015555) |
| 333600000X Pharmacy (Licence: NY 015555) | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2023-07-10 |