Organization
PRICE CHOPPER INC
Active
Other names
MARKET 32 PHARMACY #248
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN BRYANT (VP OF PHARMACY)
(518) 379-1618
Entity
Organization
Contact information
Practice address
140 MAIN ST, OXFORD, CT 06478-1056
(203) 463-7991
(844) 665-1408
Mailing address
461 NOTT ST, MB#202, SCHENECTADY, NY 12308-1812
(518) 379-1618
(518) 379-1618
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PCY.0002339
CT
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2162276
PK
—
Enumeration date
07/25/2016
Last updated
04/28/2017
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