Organization
PALMER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA PALMER (MANAGER)
(315) 651-0047
Entity
Organization
Contact information
Practice address
131 E GREEN ST, SUITE 2, ITHACA, NY 14850-5653
(607) 882-9500
(607) 882-9503
Mailing address
PO BOX 1048, TRUMANSBURG, NY 14886-1048
(315) 651-0047
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
029856
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3363657
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/12/2009
Last updated
07/12/2010
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