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Organization

CLINTWOOD APOTHECARY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD LANDRY RPH (MEMBER / PRESIDENT)
(607) 727-7770
Entity
Organization

Contact information

Practice address
343 CLINTON ST, BINGHAMTON, NY 13905-2017
(607) 729-6972
(607) 729-0177
Mailing address
PO BOX 345 WVS, BINGHAMTON, NY 13705-0345

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
023176
NY
3336L0003X
Long Term Care Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01724758
NY
05
01950481
PA
01
3365411
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
06/22/2006
Last updated
09/11/2025
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