Organization
CRYSTAL CITY APOTHECARY LLC
Active
Other names
CRYSTAL CITY APOTHECARY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN HOGUE RPH (OWNER)
(607) 936-7023
Entity
Organization
Contact information
Practice address
26 W MARKET ST, CORNING, NY 14830-2617
(607) 936-7023
(607) 936-7026
Mailing address
26 W MARKET ST, CORNING, NY 14830-2617
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
027370
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3346207
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/03/2006
Last updated
11/11/2008
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