COLONIAL LTC PHARMACY, INC
Suppliers at Main St, Whitesboro, NY

License number
New York 030513
Category
Suppliers
Type
Long Term Care Pharmacy
Owner
Name: MR. ROBERT BRAYTON LANGDON III RPH.
Title: PRESIDENT
Phone: (315) 868-4073
Address
Address
100 Main St SUITE 1, Whitesboro, NY 13492
National Provider ID: 1275838492
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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COLONIAL LTC PHARMACY, INC

100 Main St, Whitesboro, NY 13492

Industry:
Ret Drugs/Sundries
Doing business as:
Colonial LTC Pharmacy
Registration:
Nov 18, 2010
Phone:
(315) 768-7470 (Phone)
State ID:
4020818
Business type:
Domestic Business Corporation
Director Of Pharmacys:
Robert B. Langdon (Owner, Pharmacist, President),Elaine Marie Lyszczarz (Director Of Pharmacy)
Categories:
Drug Stores & Pharmacies

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