# WAYNE DRUG CO INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wayne Drug Co
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821841305
- **Authorized official:** PRAVEEN KUMAR CHALLA (PRESIDENT)
- **Authorized official phone:** (718) 643-6300

## Contact information

- **Practice address:** 24 W BRIDGE ST, OSWEGO, NY 13126-2051
- **Practice address phone:** (315) 343-5722
- **Mailing address:** 24 W BRIDGE ST, OSWEGO, NY 13126-2051
- **Mailing address phone:** (315) 343-5722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 04/08/2024
- **Last updated:** 06/13/2024