Organization
PRICE CHOPPER OPERATING CO OF PA INC
Active
Other names
PRICE CHOPPER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN BRYANT (VP OF PHARMACY)
(518) 379-1122
Entity
Organization
Contact information
Practice address
1026 WYOMING AVE, MIDWAY SHOPPING CENTER, WYOMING, PA 18644-1331
(570) 693-4572
(570) 693-4578
Mailing address
461 NOTT ST, MB#202, SCHENECTADY, NY 12308-1812
(518) 379-1618
(518) 356-6978
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP415625L
PA
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01793165
—
PA
01
—
2084944
PK
—
Enumeration date
08/17/2006
Last updated
09/16/2019
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