Penn Traffic Company, The in Syracuse - Pharmacy

Penn Traffic Company, The - NPI 1023281540

Penn Traffic Company, The is a Pharmacy in Syracuse, New York. Penn Traffic Company, The practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Penn Traffic Company, The is 1023281540. The last update date is 2008-04-04.

Penn Traffic Company, The's current location address is 1200 State Fair Blvd, Syracuse, New York. You can contact this provider via phone number 3154612600 and fax number 3154612304. The mailing address for Penn Traffic Company, The is 1200 State Fair Blvd, Syracuse, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Penn Traffic Company, The
Address 1200 State Fair Blvd, Syracuse, New York
Phone Number 3154612600
Fax Number 3154612304
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VICE PRESI
Authorized Official Name Mahoney J. Daniel
Credentials J.D.
Telephone Number 3154612347

NPI Number Detail

NPI Number 1023281540
Provider Enumeration Date 2008-04-04
Last Updated Date 2008-04-04

Provider Mailing Address Detail

Address 1200 State Fair Blvd
City Syracuse
State New York (NY)
Post Code 132091070
Phone Number 3154612600
Fax Number 3154612304

Provider's Primary Taxonomy Detail

Speciality Pharmacy
Taxonomy 333600000X
Definition:
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
449 NCPDP CHAIN CODE
454 NCPDP CHAIN CODE
452 NCPCP CHAIN CODE
993 NCPDP FRANCHISE CODE

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FAQs about Penn Traffic Company, The

What is the Penn Traffic Company, The's unique identification number?

The Penn Traffic Company, The has been assigned the NPI (National Provider Identifier) Number 1023281540 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Penn Traffic Company, The?

The Penn Traffic Company, The is situated at 1200 State Fair Blvd, in the city of Syracuse, state of NY, with the zip code 132091070.

What is Penn Traffic Company, The's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Penn Traffic Company, The's specialized field of practice is Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 333600000X.

On what date did the Penn Traffic Company, The receive the assignment of its 1023281540 from the Centers for Medicare & Medicaid Services?

The Penn Traffic Company, The was issued its 1023281540 by the Centers for Medicare & Medicaid Services on 2008-04-04.

When was the information pertaining to Penn Traffic Company, The most recently updated or revised?

The details related to Penn Traffic Company, The, including its address, specialty, and other relevant information, were last updated or revised on 2008-04-04.

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