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Organization
YOUNG'S PHARMACY & GENERAL STORE, LLC
Active
Organization
YOUNG'S PHARMACY & GENERAL STORE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MILLER YOUNG PHARM.D. (SUPERVISING PHARMACIST)
(518) 674-3663
Entity
Organization
Contact information
Practice address
1636 BURDEN LAKE ROAD, AVERILL PARK, NY 12018-2808
(518) 674-3663
(518) 674-1400
Mailing address
1636 BURDEN LAKE ROAD, AVERILL PARK, NY 12018-2808
(518) 674-3663
(518) 674-1400
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
028426
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028426
NYS LICENSE NUMBER
NY
01
—
3354761
NCPDP
NY
Enumeration date
06/21/2007
Last updated
01/18/2008
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