Kph Healthcare Services, INC.
Pharmacy, Community/Retail Pharmacy in Ithaca, NY. Organization (NPI-2).
NPI number1982933461
StatusActive
Last updated in NPPESJul 4, 2024
Details
- NPI
- 1982933461
- Entity type
- Organization (NPI-2)
- Legal business name
- Kph Healthcare Services, INC.
- Organization subpart
- No
- Enumeration date
- Dec 14, 2009
- Certification date
- Jul 4, 2024
- Last updated
- Jul 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 029891 | NY | Yes |
Other names
- Kinney Drugs #100 (Doing Business As)
Practice location
2255 N Triphammer RdIthaca, NY 14850-1576
Phone 607-330-5692
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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