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Organization
NYS DOCCS MOHAWK CORRECTIONAL FACILITY PHARMACY
Active
Organization
NYS DOCCS MOHAWK CORRECTIONAL FACILITY PHARMACY
Active
Other names
NYS DOCCS Oneida Regional Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARIE WELLER RPH (SUPERVISING PHARMACIST)
(315) 339-5232
Entity
Organization
Contact information
Practice address
6514 RT. 26, BUILDING 55, ROME, NY 13442
(315) 339-5232
(315) 339-6894
Mailing address
6514 RT. 26, BUILDING 55, ROME, NY 13442
(315) 339-5232
(315) 339-6894
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
—
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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