| NPI | 1790793990 |
|---|---|
| Doing Business As | CLINTWOOD PHARMACY LLC |
| Entity Type | Organization |
| Authorized Contact | TODD LANDRY Member And Pharmacist 607-729-2234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 023176) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2010-10-19 |