Organization
WALGREEN EASTERN CO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID NICHOLAS GOODMAN DR (PHARMACIST)
(315) 404-4859
Entity
Organization
Contact information
Practice address
49 KELLOGG RD, NEW HARTFORD, NY 13413
(315) 734-1893
(315) 734-1896
Mailing address
49 KELLOGG RD, NEW HARTFORD, NY 13413-2849
(315) 734-1893
(315) 734-1896
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
I060633-1
NY
Other
Enumeration date
02/07/2016
Last updated
08/16/2018
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