Organization
C&JS NORTHSIDE PHARMACY INC
Active
Other names
C&J's Northside Pharmacy Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE CAMILLE (PRESIDENT/OWNER)
(315) 455-6677
Entity
Organization
Contact information
Practice address
2301 TEALL AVE, SYRACUSE, NY 13206-1691
(315) 455-6677
(315) 455-6678
Mailing address
2301 TEALL AVE, SYRACUSE, NY 13206-1691
(315) 455-6677
(315) 455-6678
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
029725
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2122570
PK
—
05
—
3215258
—
NY
Enumeration date
08/24/2009
Last updated
04/19/2017
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