Organization
JAMES W BEVILACQUA
Active
Other names
POST OFFICE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES WALTER BEVILACQUA RPH (OWNER)
(518) 891-2233
Entity
Organization
Contact information
Practice address
61 MAIN ST, SARANAC LAKE, NY 12983-0587
(518) 891-2233
(518) 891-7069
Mailing address
PO BOX 587, SARANAC LAKE, NY 12983-0587
(518) 891-2233
(518) 891-7069
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
019255
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00983202
—
NY
01
—
3344493
NABP#
—
Enumeration date
11/29/2006
Last updated
06/18/2008
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