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:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
101 W MAIN ST ENDICOTT, NY 13760 US
Tel: 607-785-0431 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers Pharmacy | ||
Y | 3336C0003X | Suppliers Pharmacy | NY | 010276 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2064930 | 01 | |
00386250 | NY | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin