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Organization
NEWARK VILLAGE PHARMACY INC
Active
Organization
NEWARK VILLAGE PHARMACY INC
Active
Other names
NEWARK VILLAGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DARREN PYNN RPH (OWNER)
(315) 331-9999
Entity
Organization
Contact information
Practice address
105 W MILLER ST, NEWARK, NY 14513-1422
(315) 331-9999
(315) 331-9958
Mailing address
105 W MILLER ST, NEWARK, NY 14513-1422
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
026257
NY
3336C0003X
Community/Retail Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02473449
—
NY
01
—
3334769
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/20/2006
Last updated
03/11/2008
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