Organization
KPH HEALTHCARE SERVICES, INC.
Active
Other names
Kinney Drugs #100
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH M MARLOW (THIRD PARTY ADMINISTRATOR)
(315) 287-3600
Entity
Organization
Contact information
Practice address
2255 N TRIPHAMMER RD, ITHACA, NY 14850-1576
(607) 330-5692
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
029891
NY
Other
Enumeration date
12/14/2009
Last updated
07/04/2024
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