# PROVISIONS PLUS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Provisions Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417082538
- **Authorized official:** NICK PARTRICK RPH (VP OWNER)
- **Authorized official phone:** (585) 765-2492

## Contact information

- **Practice address:** 11 SOUTH MAIN ST., LYNDONVILLE, NY 14098
- **Practice address phone:** (585) 765-2492
- **Practice address fax:** (585) 765-9524
- **Mailing address:** 11 S MAIN ST, PO BOX 479, LYNDONVILLE, NY 14098
- **Mailing address phone:** (585) 765-2492
- **Mailing address fax:** (585) 765-9524

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 022922 | NY | Yes |

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01657721 | — | NY |