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Organization
WATER STREET PHARMACY, INC.
Active
Organization
WATER STREET PHARMACY, INC.
Active
Parent organization
WATER STREET PHARMACY, INC.
Other names
Village Drug
Organization subpart
Yes
Provider details
NPI number
Legal business name
WATER STREET PHARMACY, INC.
Authorized official
TRACEY KNAPP RPH (PRESIDENT)
(315) 536-0100
Entity
Organization
Contact information
Practice address
126 MAIN ST, PENN YAN, NY 14527-1219
(315) 536-0100
(315) 536-0109
Mailing address
126 MAIN ST, PENN YAN, NY 14527-1219
(315) 536-0100
(315) 536-0109
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
032684
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04239112
—
NY
Enumeration date
03/26/2014
Last updated
09/11/2025
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