| NPI | 1912277336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT GUISINGER President 315-339-0648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-01-02 |
| Last Update Date | 2012-01-02 |