# SCHENECTADY CNTY GLENDL NURSING FAC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SCHENECTADY COUNTY GLENDALE NURSING FACILITY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942246491
- **Authorized official:** JAMES PURCELL (SUPERVISING PHARMACIST)
- **Authorized official phone:** (518) 384-3635

## Contact information

- **Practice address:** 59 HETCHELTOWN RD, SCOTIA, NY 12302-5506
- **Practice address phone:** (518) 384-3635
- **Practice address fax:** (518) 399-5732
- **Mailing address:** 59 HETCHELTOWN RD, SCOTIA, NY 12302-5506
- **Mailing address phone:** (518) 384-3635
- **Mailing address fax:** (518) 399-5732

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | NY016813 | NY | Yes |

## Other

- **Enumeration date:** 06/22/2006
- **Last updated:** 12/01/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00473863 | — | NY |
| 01 | — | 2060818 | PK | — |
