Individual
ALYSSA TARDIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
312 FAYETTE ST, MANLIUS, NY 13104-1609
(315) 682-1918
Mailing address
5593 SUNVIEW DR, ELBRIDGE, NY 13060-9740
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
I064340
NY
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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