Organization
WAYNE-CLIFTON PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY R CARNEVALE R.PH (PHARMACIST OWNER)
(315) 462-6181
Entity
Organization
Contact information
Practice address
4 COULTER RD, CLIFTON SPRINGS, NY 14432-1122
(315) 462-6181
(315) 462-6887
Mailing address
4 COULTER RD, CLIFTON SPRINGS, NY 14432-1122
(315) 462-6181
(315) 462-6887
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
021808
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01430359
—
NY
Enumeration date
08/28/2006
Last updated
08/22/2020
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