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Organization
CONDO PHARMACY INC
Active
Organization
CONDO PHARMACY INC
Active
Parent organization
CONDO PHARMACY, INC
Other names
Condo Pharmacy LTC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONDO PHARMACY, INC
Authorized official
DR. STEVEN F MOORE PHARMD (VP)
(518) 563-3400
Entity
Organization
Contact information
Practice address
28 MONTCALM AVE, PLATTSBURGH, NY 12901-1533
(518) 563-3400
(518) 563-5946
Mailing address
28 MONTCALM AVE, PLATTSBURGH, NY 12901-1533
(518) 563-3400
(518) 563-5946
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3336C0002X
Clinic Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02785835
—
NY
Enumeration date
11/19/2019
Last updated
01/02/2025
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