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Organization
PORTVILLE PHARMACY INC
Active
Organization
PORTVILLE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MELVIN HOWARD VANCUREN JR. PHARMIACIST (PRESIDENT OF PORTVILLE PHCY INC)
(716) 933-8251
Entity
Organization
Contact information
Practice address
12 S MAIN ST, PORTVILLE, NY 14770-9794
(716) 933-8251
(716) 933-8793
Mailing address
PO BOX 766, PORTVILLE, NY 14770-9794
(716) 933-8251
(716) 933-8793
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
024515
NY
Other
Enumeration date
02/02/2007
Last updated
08/22/2020
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