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Organization

PRICE CHOPPER OPERATING CO OF PA INC

Active
Other names
PRICE CHOPPER PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA VENNARD (RX 3RD PARTY ADMINISTRATOR)
(518) 379-1618
Entity
Organization

Contact information

Practice address
16750 SR 706, MONTROSE, PA 18801
(570) 278-8790
(570) 278-2975
Mailing address
461 NOTT ST, SCHENECTADY, NY 12308-1812
(518) 379-1618
(518) 356-6978

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP415788L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007676190013
PA
01
2153557
PK
Enumeration date
08/12/2015
Last updated
08/26/2016
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