Individual
CAROL MORRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS PHARMACY
Contact information
Practice address
1057 TROY SCHENECTADY RD, LATHAM, NY 12110-1002
(518) 220-2005
Mailing address
1057 TROY SCHENECTADY RD, LATHAM, NY 12110-1002
(518) 220-2005
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03346-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
546852
NABP
NY
Enumeration date
12/05/2017
Last updated
12/05/2017
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