# CONDO PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CONDO PHARMACY, INC
- **Other names:** Condo Pharmacy LTC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1386280931
- **Legal business name:** CONDO PHARMACY, INC
- **Authorized official:** DR. STEVEN F MOORE PHARMD (VP)
- **Authorized official phone:** (518) 563-3400

## Contact information

- **Practice address:** 28 MONTCALM AVE, PLATTSBURGH, NY 12901-1533
- **Practice address phone:** (518) 563-3400
- **Practice address fax:** (518) 563-5946
- **Mailing address:** 28 MONTCALM AVE, PLATTSBURGH, NY 12901-1533
- **Mailing address phone:** (518) 563-3400
- **Mailing address fax:** (518) 563-5946

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 11/19/2019
- **Last updated:** 01/02/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02785835 | — | NY |