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Organization
PENDLETON STAR PHARMACY, INC.
Active
Organization
PENDLETON STAR PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY IZARD RPH (OWNER/SUPERVISOR)
(716) 210-3152
Entity
Organization
Contact information
Practice address
6503 CAMPBELL BLVD, LOCKPORT, NY 14094-9210
(716) 210-3152
Mailing address
6503 CAMPBELL BLVD, LOCKPORT, NY 14094-9210
(716) 210-3152
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
042308
NY
Other
Enumeration date
08/05/2013
Last updated
01/25/2014
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