# 200 BASSETT ROAD OPERATING COMPANY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** 200 BASETT ROAD OPERATING COMPANY, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1407281835
- **Legal business name:** 200 BASETT ROAD OPERATING COMPANY, LLC
- **Authorized official:** MR. GREGORY HOOK (CHIEF COMPLIANCE OFFICER)
- **Authorized official phone:** (212) 802-7609

## Contact information

- **Practice address:** 200 BASSETT RD, WILLIAMSVILLE, NY 14221-2639
- **Practice address phone:** (716) 689-6681
- **Mailing address:** 641 LEXINGTON AVE, 31ST FLOOR, NEW YORK, NY 10022-4503
- **Mailing address phone:** (212) 802-7609
- **Mailing address fax:** (646) 924-0520

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 031932 | NY | Yes |

## Other

- **Enumeration date:** 09/04/2013
- **Last updated:** 09/04/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 031932 | NY STATE BOARD OF PHARMACY REGISTRATION | NY |