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Individual

CRAIG JOHN COFFENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM D

Contact information

Practice address
34 CONGRESS ST, SARATOGA SPRINGS, NY 12866-4120
(518) 587-3098
(518) 587-4925
Mailing address
4623 SKYLINE DR, DELANSON, NY 12053-3930
(518) 505-2071

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
053097-1
NY
183500000X
Pharmacist
PH27136
MA

Other

Enumeration date
02/28/2010
Last updated
02/28/2010
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