Lacey Folsom, | |
4057 State Highway 3, Star Lake, NY 13690-3172 | |
(315) 848-3784 | |
(315) 848-5129 |
Full Name | Lacey Folsom |
---|---|
Gender | Female |
Speciality | Pharmacist |
Location | 4057 State Highway 3, Star Lake, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629479720 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
183500000X | Pharmacist | I 20 050800 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Lacey Folsom, Po Box 211, Star Lake, NY 13690-0211 Ph: (315) 848-3784 | Lacey Folsom, 4057 State Highway 3, Star Lake, NY 13690-3172 Ph: (315) 848-3784 |
Mr. Matthew Scott, R.PH. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 4057 State Highway 3, Star Lake, NY 13690 Phone: 315-848-3784 Fax: 315-848-5129 | |
Mrs. Diane Birney Scott, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 4057 State Highway 3, Star Lake, NY 13690 Phone: 315-848-3784 Fax: 315-848-5129 |