# OLDE CANAL PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MILLERS PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811033426
- **Authorized official:** MICHAEL WELSCH (PRESIDENT)
- **Authorized official phone:** (585) 889-3510

## Contact information

- **Practice address:** 201 SCOTTSVILLE W HENRIETTA RD, WEST HENRIETTA, NY 14586-9596
- **Practice address phone:** (585) 889-3510
- **Practice address fax:** (585) 334-5833
- **Mailing address:** 201 SCOTTSVILLE W HENRIETTA RD, SUITE 1, WEST HENRIETTA, NY 14586-9596
- **Mailing address phone:** (585) 889-3510
- **Mailing address fax:** (585) 334-5833

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 022482 | NY | Yes |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 06/08/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01569171 | — | NY |
| 01 | — | 2057593 | PK | — |