Keeseville Pharmacy Inc
Director
							Chester H Fox, M.D.
			Expiration Date
							Phone Number
							(518) 834-6090
			UID (Facility ID - Site ID)
							Z004-0000
			Site ID
							0000
			City
							Keeseville
			CLIA Number
							33D2186040
			Street Address
							1730 Front St
			State
							NY
			Zip Code
							12944
			County
							Essex
			Country
							United States
			Fax Number
							(518) 834-7021
			Primary Contact
							Daniel Bosley
			Contact Phone Number
							(518) 834-6090
			Certificate Type
							WAIVER
			Tests
				COVID-19 ANTIGEN
							Community Screening
							Glycosylated Hemoglobin
							Influenza
							COVID-19 MOLECULAR
							RSV (Respiratory Syncytial Virus)
							Strep A Test
					Facility ID
							Z004
			