Organization
ELLIS HOSPITAL
Active
Other names
Ellis Hospital McClellan St. Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PASQUARELLA (DIRECTOR OF PHARMACY)
(518) 243-1818
Entity
Organization
Contact information
Practice address
600 MCCLELLAN ST, SCHENECTADY, NY 12304-1009
(518) 347-5315
(518) 382-2353
Mailing address
600 MCCLELLAN ST, SCHENECTADY, NY 12304-1009
(518) 347-5315
(518) 382-2353
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
029032
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160720
PK
—
Enumeration date
07/22/2016
Last updated
07/27/2018
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