Organization
KIMRO INC
Active
Other names
KIMROS MEDICINE PLACE
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON DEMERS (PRESIDENT)
(315) 393-6290
Entity
Organization
Contact information
Practice address
511 STATE ST, OGDENSBURG, NY 13669-2672
(315) 393-6290
(315) 394-0021
Mailing address
511 STATE ST, OGDENSBURG, NY 13669-2672
(315) 393-6290
(315) 394-0021
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
020034
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00899330
—
NY
01
—
2062381
PK
—
Enumeration date
02/07/2007
Last updated
11/10/2016
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