Individual
ANN F WITHJACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
34 HOPE PLZ, WEST COXSACKIE, NY 12192-1225
(518) 731-2400
Mailing address
34 HOPE PLZ, WEST COXSACKIE, NY 12192-1225
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
30362
NY
Other
Enumeration date
07/30/2011
Last updated
07/30/2011
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