Organization
MARRAS PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN T MCDONALD III RPH (PRESIDENT)
(518) 237-2110
Entity
Organization
Contact information
Practice address
217 REMSEN ST, COHOES, NY 12047-3024
(518) 237-2110
(518) 237-5533
Mailing address
217 REMSEN ST, PO BOX 229, COHOES, NY 12047-3024
(518) 237-2110
(518) 237-5533
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
007907
NY
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000400474001
BLUE SHIELD
NY
05
—
00516207
—
NY
01
—
007907
STATE PHARMACY LICENSE
NY
01
—
10005286
CDPHP
NY
Enumeration date
11/30/2005
Last updated
05/09/2019
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