Penn Traffic Company, The
Pharmacy
1200 State Fair Blvd, Syracuse
New York, 13209-1070
315-461-2600 315-461-2304
Penn Traffic Company, The is not a DME supplier for medicare equipments and products.
Penn Traffic Company, The is a Pharmacy in Syracuse, New York. It is located at 1200 State Fair Blvd, Syracuse and it's customer support contact number is 315-461-2600. The authorized person of Penn Traffic Company, The is Mr. Daniel J. Mahoney, J.D. who is Vice President/corproate Council of the pharmacy and his contact number is 315-461-2347.
Penn Traffic Company, The is 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 prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Penn Traffic Company, The type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Penn Traffic Company, The |
| Type: | Pharmacy |
| Location: | 1200 State Fair Blvd, Syracuse, New York, 13209-1070 |
| Phone: | 315-461-2600 |
| Fax: | 315-461-2304 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Daniel J. Mahoney |
| Credentials: | J.D. |
| Position: | Vice President/corproate Council |
| Contact Number: | 315-461-2347 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1023281540 |
| NPI Enumeration Date: | 04 Apr, 2008 |
| NPI Last Update On: | 04 Apr, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Penn Traffic Company, The are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 449 | Other | | Ncpdp Chain Code |
| 454 | Other | | Ncpdp Chain Code |
| 452 | Other | | Ncpcp Chain Code |
| 993 | Other | | Ncpdp Franchise Code |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1200 State Fair Blvd, Syracuse, New York |
| Zip: | 13209-1070 |
| Phone Number: | 315-461-2600 |
| Fax Number: | 315-461-2304 |
Patients can reach Penn Traffic Company, The at
1200 State Fair Blvd, Syracuse, New York or can
call on customer care at 315-461-2600.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.