Organization
BOLTONS PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLLEEN SIGNOR RPH (REGISTERED PHAMACIST)
(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
332B00000X
Durable Medical Equipment & Medical Supplies
015555
NY
333600000X
Pharmacy
015555
NY
3336C0003X
Community/Retail Pharmacy
Primary
015555
NY
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01077238
—
NY
01
—
3347754
NABP
NY
Enumeration date
09/20/2005
Last updated
07/10/2023
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