Individual
DALE MCINTYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
905 COFFEEN ST, WATERTOWN, NY 13601-1816
(315) 788-9366
(315) 405-8473
Mailing address
22532 CULLEN DR, WATERTOWN, NY 13601-1797
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20 047506
NY
Other
Enumeration date
02/17/2010
Last updated
02/17/2010
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