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Organization
FULTON COUNTY RHCF PHARMACY
Active
Organization
FULTON COUNTY RHCF PHARMACY
Active
Other names
FULTON COUNTY RESIDENT HEALTH CARE FACILITY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DESIENO RPH (SUPERVISING PHARMACIST)
(518) 773-3471
Entity
Organization
Contact information
Practice address
847 COUNTY HIGHWAY 122, GLOVERSVILLE, NY 12078-6413
(518) 773-3471
(518) 725-4764
Mailing address
847 COUNTY HIGHWAY 122, GLOVERSVILLE, NY 12078-6413
(518) 773-3471
(518) 725-4764
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
020462
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02209543
—
NY
01
—
2059521
PK
—
Enumeration date
09/16/2005
Last updated
10/10/2016
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