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Organization
SCHENECTADY CNTY GLENDL NURSING FAC
Active
Organization
SCHENECTADY CNTY GLENDL NURSING FAC
Active
Other names
SCHENECTADY COUNTY GLENDALE NURSING FACILITY
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES PURCELL (SUPERVISING PHARMACIST)
(518) 384-3635
Entity
Organization
Contact information
Practice address
59 HETCHELTOWN RD, SCOTIA, NY 12302-5506
(518) 384-3635
(518) 399-5732
Mailing address
59 HETCHELTOWN RD, SCOTIA, NY 12302-5506
(518) 384-3635
(518) 399-5732
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
NY016813
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00473863
—
NY
01
—
2060818
PK
—
Enumeration date
06/22/2006
Last updated
12/01/2016
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