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Organization
VINCE'S PHARMACY OF CAMILLUS INC
Active
Organization
VINCE'S PHARMACY OF CAMILLUS INC
Active
Other names
the medicine shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL MACHEN PHARMD (PRESIDENT)
(315) 487-5775
Entity
Organization
Contact information
Practice address
240 TOWNSHIP BLVD STE 30, CAMILLUS, NY 13031-1793
(315) 487-5775
(315) 487-4423
Mailing address
240 TOWNSHIP BLVD STE 30, CAMILLUS, NY 13031-1793
(315) 487-5775
(315) 487-4423
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
018681
NY
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00905748
—
NY
01
—
3384928
NCPDP #
NY
Enumeration date
10/09/2006
Last updated
03/07/2023
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