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Organization
WAYNE DRUG OF PULASKI, INC
Active
Organization
WAYNE DRUG OF PULASKI, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES PATRICK BRANSHAW R.PH. (OWNER)
(315) 343-5722
Entity
Organization
Contact information
Practice address
24 W BRIDGE ST, OSWEGO, NY 13126-2051
(315) 343-5722
(315) 343-0085
Mailing address
24 W BRIDGE ST, OSWEGO, NY 13126-2051
(315) 343-5722
(315) 343-0085
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
019649
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01252657
—
NY
Enumeration date
11/17/2006
Last updated
08/22/2020
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