Organization
PENN TRAFFIC COMPANY THE
Active
Other names
P AND C FOOD AND PHARMACY 3130
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ERBA RPH (PHARMACY SYSTEMS MANAGER)
(315) 461-2595
Entity
Organization
Contact information
Practice address
3577 W GENESEE ST, SYRACUSE, NY 13219-2002
(315) 487-0293
(315) 478-0691
Mailing address
3577 W GENESEE ST, SYRACUSE, NY 13219-2002
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
022255
NY
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01503626
—
NY
01
—
3354189
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/21/2006
Last updated
09/11/2025
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