Organization
PALMYRA PHARMACY LLC
Active
Other names
Palmyra Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID STACHNIK (PRESIDENT)
(585) 259-5240
Entity
Organization
Contact information
Practice address
214 E MAIN ST, PALMYRA, NY 14522-1128
(315) 502-0038
(315) 502-0124
Mailing address
1193 SEVERN RIDGE RD, WEBSTER, NY 14580-9144
(585) 259-5240
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
031923
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2140513
PK
—
Enumeration date
06/07/2013
Last updated
06/07/2013
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