Canastota Pharmacy DBA Communitypharmacy

NPI #1053404772 in Canastota, New York

Provider Information

NPI Number
1053404772
Entity Type
Organization
Organization Name
Canastota Pharmacy DBA Communitypharmacy
Primary Specialty
Pharmacist
Enumeration Date
Oct 2, 2006
Last Updated
Feb 14, 2008

Practice Location

Address
149 S PETERBORO ST.
ZIP Code
13032
Phone
(315) 697-2541

Authorized Official

Name
STEPHEN JOHN KWASNIK, RPH.
Title
SUPERVISING PHARMACIST
Phone
(315) 697-2541

Specialties & Taxonomy Codes

Specialty
Pharmacist

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