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Organization
OMNICARE OF NEW YORK, LLC
Active
Organization
OMNICARE OF NEW YORK, LLC
Active
Other names
Omnicare of Bishop Gadsden
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1 BISHOP GADSDEN WAY, CHARLESTON, SC 29412-3506
(843) 406-0902
(843) 406-0092
Mailing address
201 E 4TH ST, 900 OMNICARE CENTER, CINCINNATI, OH 45202-4248
(513) 719-2600
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
50-008477
SC
3336L0003X
Long Term Care Pharmacy
Primary
50-008477
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4224767
NCPDP
—
Enumeration date
10/27/2006
Last updated
11/10/2015
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