Individual
CLARISSA POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4535 COMMERCIAL DR, NEW HARTFORD, NY 13413-6208
(315) 272-8607
Mailing address
7676 DOMINION PKWY, LIVERPOOL, NY 13090-2555
(315) 272-8607
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
060166
NY
Other
Enumeration date
02/12/2015
Last updated
12/21/2017
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