# FREDS PHARMACY LLC

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

## Provider details

- **NPI number:** 1427807965
- **Authorized official:** FREDERICK W DOLTZ RPH (OWNER/SUPERVISING PHARMACIST)
- **Authorized official phone:** (518) 642-3733

## Contact information

- **Practice address:** 75 QUAKER ST, GRANVILLE, NY 12832-1519
- **Practice address phone:** (518) 642-3733
- **Practice address fax:** (518) 642-3737
- **Mailing address:** 75 QUAKER ST, GRANVILLE, NY 12832-1519
- **Mailing address phone:** (518) 642-3733
- **Mailing address fax:** (518) 642-3737

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/16/2024
- **Last updated:** 05/16/2024