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Organization
WILSON COMMUNITY PHARMACY INC
Active
Organization
WILSON COMMUNITY PHARMACY INC
Active
Other names
WILSON COMMUNITY PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
LEANNE BROWN RPH (OWNER PRESIDENT)
(716) 751-0140
Entity
Organization
Contact information
Practice address
272 PETTIT ST, WILSON, NY 14172-9696
(716) 751-0140
(716) 751-0167
Mailing address
PO BOX 950, WILSON, NY 14172-0950
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
023775
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01902703
—
NY
01
—
3300744
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/20/2006
Last updated
01/13/2010
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