Kidwell INC

NPI #1275546426 in Hauppauge, New York

Provider Information

NPI Number: 1275546426
Entity Type: Organization
Organization Name: Kidwell INC
Primary Specialty: Pharmacist
Enumeration Date: Aug 15, 2006
Last Updated: Oct 21, 2008

Practice Location

Address: 1770 MOTOR PARKWAY
City: Hauppauge
State: New York
ZIP Code: 11749
Phone: (631) 582-5959

Authorized Official

Name: MR. MICHAEL J WISTREICH, RPH
Title: SUPERVISING PHARMACIST
Phone: (631) 582-5959

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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