Organization
PRICE CHOPPER INC
Active
Other names
PRICE CHOPPER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN BRYANT (VP OF PHARMACY)
(518) 379-1122
Entity
Organization
Contact information
Practice address
675 POQUONCOCK AVE, WINDSOR, CT 06095
(860) 687-1910
(860) 687-9838
Mailing address
461 NOTT ST, MB#202, SCHENECTADY, NY 12308-1812
(518) 379-1618
(518) 356-6978
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PCY00002094
CT
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004270732
—
CT
01
—
2002828
PK
—
Enumeration date
06/20/2007
Last updated
07/24/2015
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