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Organization

PENN TRAFFIC COMPANY THE

Active
Other names
P AND C FOOD AND PHARMACY 3040
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES ERBA RPH (PHARMACY SYSTEMS MANAGER)
(315) 461-2595
Entity
Organization

Contact information

Practice address
2078 STATE ROUTE 481, FULTON, NY 13069
(315) 592-3595
(315) 592-4889
Mailing address
2078 STATE ROUTE 481, FULTON, NY 13069

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
022164
NY
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01483843
NY
01
3348112
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
07/21/2006
Last updated
09/11/2025
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