Organization
LIMA VILLAGE PHARMACY LLC
Active
Other names
Lima Village Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN GOOLD (SUPERVISING PHARMACIST)
(585) 624-9777
Entity
Organization
Contact information
Practice address
7298 W MAIN ST, LIMA, NY 14485-9473
(585) 624-9777
(585) 624-5677
Mailing address
PO BOX 654, LIMA, NY 14485-0654
(585) 624-9777
(585) 624-5677
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
034536
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159567
PK
—
Enumeration date
03/31/2016
Last updated
12/08/2023
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