Individual
DR. ANDREW W DACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
1500 N JAMES ST, ROME, NY 13440-2844
(315) 338-7151
Mailing address
309 BARRINGER RD, ILION, NY 13357-4309
(315) 717-4232
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
054668-1
NY
Other
Enumeration date
12/29/2010
Last updated
12/29/2010
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