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Organization
WY CNTY COMM HOSP
Active
Organization
WY CNTY COMM HOSP
Active
Other names
WY CNTY COMM HOSP
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES BUROMETTO RPH (SR PHCIST)
(585) 786-8940
Entity
Organization
Contact information
Practice address
400 N MAIN ST, WARSAW, NY 14569-1025
(585) 786-8940
(585) 786-1240
Mailing address
400 N MAIN ST, WARSAW, NY 14569-1025
(585) 786-8940
(585) 786-1240
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336I0012X
Institutional Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
006545
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00310889
—
NY
01
—
2066371
PK
—
Enumeration date
06/14/2006
Last updated
09/21/2016
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