Organization
CRIMMINS PHARMACY, INC.
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH F CRIMMINS R.PH. (OWNER)
(315) 232-2460
Entity
Organization
Contact information
Practice address
10924 US ROUTE 11, SUITE 3, ADAMS, NY 13605-3125
(315) 232-2460
(315) 232-2482
Mailing address
10924 US ROUTE 11, SUITE 3, ADAMS, NY 13605-3125
(315) 232-2460
(315) 232-2482
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01473216
—
NY
01
—
3345495
NCPDP #
NY
Enumeration date
11/28/2006
Last updated
03/07/2023
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