Organization
KPH HEALTHCARE SERVICES, INC.
Active
Other names
Kinney Drugs CF
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA V BARBER (DIRECTOR OF PBM RELATIONS)
(315) 287-3600
Entity
Organization
Contact information
Practice address
471 E MAIN ST UNIT 5, GOUVERNEUR, NY 13642-1508
(855) 358-1294
Mailing address
29 E MAIN ST, GOUVERNEUR, NY 13642-1401
(315) 287-3600
(315) 287-4291
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
035518
NY
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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