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Organization

CAMP ROAD PHARMACY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LAWRENCE WALTER THIEMECKE RPH (OWNER)
(716) 649-1650
Entity
Organization

Contact information

Practice address
503 SUNSET DR, HAMBURG, NY 14075-4231
(716) 649-1650
(716) 662-0972
Mailing address
503 SUNSET DR, HAMBURG, NY 14075-4231
(716) 649-1650
(716) 662-0972

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
013393
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00604224
NY
01
3313688
NAPB NUMBER
NY
Enumeration date
06/29/2005
Last updated
08/22/2020
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