MS. Mary Jo List, RPH

NPI #1417139940 in Amsterdam, New York

Provider Information

NPI Number
1417139940
Entity Type
Individual
Name
MS. Mary Jo List, RPH
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
RPH
Enumeration Date
Nov 27, 2007
Last Updated
Sep 5, 2008

Practice Location

Address
101 SANFORD FARMS SHOPPING CTR
ZIP Code
12010-7535
Phone
(518) 843-6895

Specialties & Taxonomy Codes

Specialty
Pharmacist

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