Organization
STATE OF NEW YORK
Active
Other names
ATTICA CORRECTIONAL FACILITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS GHISE (SUPERVISING PHARMACIST)
(585) 591-2000
Entity
Organization
Contact information
Practice address
EXCHANGE ST RD, ATTICA, NY 14011-1211
(585) 591-2000
(585) 591-2000
Mailing address
EXCHANGE ST RD, ATTICA, NY 14011-1211
(585) 591-2000
(585) 591-2000
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
006467
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2062686
PK
—
Enumeration date
07/19/2006
Last updated
08/25/2016
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