Organization
KPH HEALTHCARE SERVICES, INC.
Active
Other names
Kinney Drugs #105
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH M MARLOW (THIRD PARTY ADMINISTRATOR)
(315) 287-3600
Entity
Organization
Contact information
Practice address
16 CHURCH ST, BARTON, VT 05822-8511
(802) 525-4098
(802) 525-3794
Mailing address
29 E MAIN ST, GOUVERNEUR, NY 13642-1401
(315) 287-3600
(315) 287-4291
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0380077454RPPP
VT
Other
Enumeration date
06/28/2011
Last updated
07/03/2024
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