Colonial Ltc Pharmacy, INC
NPI #1275838492 in Whitesboro, New York
Provider Information
- NPI Number
- 1275838492
- Entity Type
- Organization
- Organization Name
- Colonial Ltc Pharmacy, INC
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Jan 19, 2011
- Last Updated
- Jan 19, 2011
Practice Location
- Address
- 100 MAIN ST
- Address 2
- SUITE 1
- City
- Whitesboro
- State
- New York
- ZIP Code
- 13492-1027
- Phone
- (315) 868-4073
Authorized Official
- Name
- MR. ROBERT BRAYTON LANGDON III, RPH.
- Title
- PRESIDENT
- Phone
- (315) 868-4073
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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