Organization
OMNICARE OF NEW YORK, LLC
Active
Other names
Omnicare of Bishop Gadsden
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1 BISHOP GADSDEN WAY, CHARLESTON, SC 29412-3506
(843) 406-0902
(843) 406-0092
Mailing address
201 E 4TH ST, 900 OMNICARE CENTER, CINCINNATI, OH 45202-4248
(513) 719-2600
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
50-008477
SC
3336L0003X
Long Term Care Pharmacy
Primary
50-008477
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4224767
NCPDP
—
Enumeration date
10/27/2006
Last updated
11/10/2015
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