Organization
CLINTWOOD APOTHECARY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD TODD LANDRY (MEMBER/PHARMACIST)
(607) 729-6972
Entity
Organization
Contact information
Practice address
343 CLINTON ST, SUITE B, BINGHAMTON, NY 13905-2017
(607) 729-6972
(607) 729-0177
Mailing address
343 CLINTON ST, SUITE B, BINGHAMTON, NY 13905-2017
(607) 729-6972
(607) 729-0177
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
045763
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02723866
—
NY
Enumeration date
08/10/2006
Last updated
06/20/2008
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