| NPI | 1942242243 |
|---|---|
| Other Name | LOURDES RETAIL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SHAYNE WILCOX Supervising Pharmacist 607-798-5944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 023594) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2019-10-16 |