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Organization

LITTLE WING PHARMACY INC

Active
Other names
Medicine shoppe
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES POORE (PRESIDENT)
(315) 632-1847
Entity
Organization

Contact information

Practice address
18 KELLOGG RD, NEW HARTFORD, NY 13413-2825
(315) 735-7979
(315) 735-7388
Mailing address
18 KELLOGG RD, NEW HARTFORD, NY 13413-2825
(315) 735-7979
(315) 735-7388

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
023009
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2169946
PK
Enumeration date
07/28/2017
Last updated
07/28/2017
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