MEDICARE: MR. DAVID JAMES PALMER R.PH.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	028533	NY

General Provider Information

NPI Number	:	1124159272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID JAMES PALMER R.PH.

Provider Business Mailing Address
First Line	:	4253 SEYBOLT RD
Second Line	:
City	:	SENECA FALLS
State	:	NY
Zip	:	13148-9582
Country	:	US
Telephone Number	:	315-549-8484
Fax Number	:	607-869-5252

Provider Business Practice Location Address
First Line	:	7115 NORTH MAIN ST
Second Line	:
City	:	OVID
State	:	NY
Zip	:	14521
Country	:	US
Telephone Number	:	607-869-5033
Fax Number	:	607-869-5252

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	07/08/2007

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Directions to “ MR. DAVID JAMES PALMER R.PH.” Practice Location

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