Organization
SPENCERPORT FAMILY APOTHECARY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC M. SCHLADEBECK PHARM D (OWNER/PIC)
(585) 349-3562
Entity
Organization
Contact information
Practice address
5017 W RIDGE RD STE D, SPENCERPORT, NY 14559-1568
(585) 349-3562
(585) 349-3564
Mailing address
5017 W RIDGE RD STE D, SPENCERPORT, NY 14559-1568
(585) 349-3562
(585) 349-3564
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
032671
NY
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04044524
—
NY
01
—
2147657
PK
—
Enumeration date
01/29/2014
Last updated
03/12/2025
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