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Organization
WOLCOTT PHARMACY LLC
Active
Organization
WOLCOTT PHARMACY LLC
Active
Other names
Wolcott Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN TOMPKINS (OWNER)
(585) 624-8010
Entity
Organization
Contact information
Practice address
12042 E MAIN ST, WOLCOTT, NY 14590-1022
(315) 594-2222
(315) 594-2227
Mailing address
12042 E MAIN ST, WOLCOTT, NY 14590-1022
(315) 594-2222
(315) 594-2227
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
031247
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2135108
PK
—
Enumeration date
05/09/2012
Last updated
04/30/2015
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