Individual
AMIE LYNN EGGLESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1165 RTE 374, DANNEMORA, NY 12929
(518) 492-2692
Mailing address
PO BOX 361, DANNEMORA, NY 12929-0361
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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