# PROPEL PHARMACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Propel Pharmacy LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073965729
- **Authorized official:** ERICA RACHELLE DURANT PHARMD (PHARMACIST IN CHARGE)
- **Authorized official phone:** (888) 407-8015

## Contact information

- **Practice address:** 5962 STATE ROUTE 31 STE 4, CICERO, NY 13039-7857
- **Practice address phone:** (888) 407-8015
- **Practice address fax:** (866) 277-1796
- **Mailing address:** 5962 STATE ROUTE 31 STE 4, CICERO, NY 13039-7857
- **Mailing address phone:** (888) 407-8015
- **Mailing address fax:** (866) 277-1796

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 034875 | NY | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 07/06/2016
- **Last updated:** 02/15/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2162085 | PK | — |