Organization
N & N VILLAGE PHARMACY INC
Active
Other names
VILLAGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS CHERVINSKY RPH (PRESIDENT)
(315) 668-2659
Entity
Organization
Contact information
Practice address
537 S MAIN ST, CENTRAL SQUARE, NY 13036-3505
(315) 668-2659
(315) 676-5256
Mailing address
PO BOX 398, CENTRAL SQUARE, NY 13036-0398
(318) 668-2659
(315) 676-5256
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
020366
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01150027
—
NY
01
—
2066505
PK
—
Enumeration date
09/12/2006
Last updated
03/06/2019
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