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Find providers by NPI
Organization

STATE OF NEW YORK

Active
Other names
CLINTON CORRECTIONAL FACILITY-PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
PAULETTE LEDUC BACHELOR (PHARMACY SUPERVISOR)
(518) 492-2511
Entity
Organization

Contact information

Practice address
COOK ST, DANNEMORA, NY 12929
(518) 492-2511
Mailing address
COOK ST, PO BOX 2000, DANNEMORA, NY 12929
(518) 492-2511

Taxonomy

Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
012999
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2064781
PK
Enumeration date
09/24/2014
Last updated
06/23/2016
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