MS. Eileen Dattola, RPH

NPI #1417351511 in Tupper Lake, New York

Provider Information

NPI Number: 1417351511
Entity Type: Individual
Name: MS. Eileen Dattola, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Oct 17, 2014
Last Updated: Oct 17, 2014

Practice Location

Address: 2445 STATE ROUTE 30
Address 2: PHARMACY
City: Tupper Lake
State: New York
ZIP Code: 12986-2502
Phone: (518) 359-4247

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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