# STAMFORD PHARMACY INC

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

## Provider details

- **NPI number:** 1225178882
- **Authorized official:** VERN BARNES (PRESIDENT)
- **Authorized official phone:** (607) 652-7458

## Contact information

- **Practice address:** 119 MAIN ST, STAMFORD, NY 12167-1159
- **Practice address phone:** (607) 652-7233
- **Mailing address:** 119 MAIN ST, STAMFORD, NY 12167-1159
- **Mailing address phone:** (607) 652-7233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 009314 | NY | Yes |

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00516692 | — | NY |
| 01 | — | 009314 | STATE LICENSE NUMBER | NY |