# MAIN STREET PHARMACY OF MARCELLUS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780769125
- **Authorized official:** MR. JAMES DANIEL CATALDI (PRESIDENT/PHARMACIST)
- **Authorized official phone:** (315) 673-2410

## Contact information

- **Practice address:** 11 E MAIN ST, MARCELLUS, NY 13108-1224
- **Practice address phone:** (315) 673-2410
- **Practice address fax:** (315) 673-4668
- **Mailing address:** 11 E MAIN ST, MARCELLUS, NY 13108-1224
- **Mailing address phone:** (315) 673-2410
- **Mailing address fax:** (315) 673-4668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 025325 | NY | Yes |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02269450 | — | NY |