Kph Healthcare Services, INC.
Pharmacy, Community/Retail Pharmacy in St Johnsville, NY. Organization (NPI-2).
NPI number1154438331
StatusActive
Last updated in NPPESJul 3, 2024
Details
- NPI
- 1154438331
- Entity type
- Organization (NPI-2)
- Legal business name
- Kph Healthcare Services, INC.
- Organization subpart
- No
- Enumeration date
- Aug 24, 2006
- Certification date
- Jul 3, 2024
- Last updated
- Jul 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 333600000X | Pharmacy | 017742 | NY |
Other names
- Kinney Drugs#25 (Doing Business As)
Practice location
12 Park PlSt Johnsville, NY 13452-1332
Phone 518-554-5466 · Fax 518-554-5467
Mailing address
29 E Main StGouverneur, NY 13642-1401
Phone 315-287-3600 · Fax 315-287-4291
Authorized official
Elizabeth M Marlow
Third Party Administrator
3152873600
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