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COLELLA CORNER DRUG STORE INC

Medical Equipment Supplier Yellow Pages

Endicott, New York

Provider NPI: 1821092644

Organization Information:
Organization Name:  COLELLA CORNER DRUG STORE INC


Practice Location:
101 W MAIN ST  ENDICOTT, NY 13760 US
Tel: 607-785-0431  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N333600000XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
NY010276

Other Provider Identifiers:

IssuerNumberStateType
PK206493001
00386250NY05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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