# WILLIAMSON PHARMACY LLC

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

## Provider details

- **NPI number:** 1215901905
- **Authorized official:** MARK HERMENET (SUPERVISING PHARMACIST)
- **Authorized official phone:** (315) 521-0646

## Contact information

- **Practice address:** 4102 PEARSALL ST, WILLIAMSON, NY 14589-9270
- **Practice address phone:** (315) 589-3333
- **Practice address fax:** (315) 589-3335
- **Mailing address:** 4102 PEARSALL ST, WILLIAMSON, NY 14589-9270

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 027549 | NY | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 02/17/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3348883 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |