Organization
BOLTONS PHARMACY INC
Active
Other names
Bolton's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
COLEEN SIGNOR RPH (OWNER)
(315) 782-5961
Entity
Organization
Contact information
Practice address
128 W MAIN ST, WATERTOWN, NY 13601-1989
(315) 782-5961
(315) 782-4496
Mailing address
128 W MAIN ST, WATERTOWN, NY 13601-1989
(315) 782-5961
(315) 782-4496
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01077238
—
NY
Enumeration date
11/06/2019
Last updated
07/26/2023
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