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Organization
WYOMING REXALL DRUG INC
Active
Organization
WYOMING REXALL DRUG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM E FOLLENDORF BS IN PHARMACY (OWNER)
(585) 786-2100
Entity
Organization
Contact information
Practice address
91 N MAIN ST, WARSAW, NY 14569-1343
(585) 786-2100
(585) 786-3217
Mailing address
91 N MAIN ST, WARSAW, NY 14569-1343
(585) 786-2100
(585) 786-3217
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
021614
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00485483
—
NY
01
—
3355218
NADP
NY
Enumeration date
12/19/2006
Last updated
03/10/2010
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