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Organization
WINDHAM PHARMACY OF GREENE COUNTY INC
Active
Organization
WINDHAM PHARMACY OF GREENE COUNTY INC
Active
Other names
Windham Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM T QUACKENBUSH III RPH (PRESIDENT)
(518) 966-8714
Entity
Organization
Contact information
Practice address
6 STATE ROUTE 296, SUITE 10, WINDHAM, NY 12496-0068
(518) 734-3033
(518) 734-6575
Mailing address
PO BOX 68, 3 RTE 296 & SOUTH STREET, WINDHAM, NY 12468
(518) 734-3033
(518) 734-6575
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
018879
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00923735
—
NY
Enumeration date
07/20/2006
Last updated
01/26/2010
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