# WAYNE-CLIFTON PHARMACY INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144338310
- **Authorized official:** MR. GARY R CARNEVALE R.PH (PHARMACIST OWNER)
- **Authorized official phone:** (315) 462-6181

## Contact information

- **Practice address:** 4 COULTER RD, CLIFTON SPRINGS, NY 14432-1122
- **Practice address phone:** (315) 462-6181
- **Practice address fax:** (315) 462-6887
- **Mailing address:** 4 COULTER RD, CLIFTON SPRINGS, NY 14432-1122
- **Mailing address phone:** (315) 462-6181
- **Mailing address fax:** (315) 462-6887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 021808 | NY | Yes |

## Other

- **Enumeration date:** 08/28/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01430359 | — | NY |