Organization
N & N VILLAGE PHARMACY INC
Active
Other names
VILLAGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS CHERVINSKY RPH (PRESIDENT)
(315) 676-4441
Entity
Organization
Contact information
Practice address
792 N MAIN ST, NORTH SYRACUSE, NY 13212-1644
(315) 458-0500
(315) 458-8455
Mailing address
792 N MAIN ST, NORTH SYRACUSE, NY 13212-1644
(315) 458-0500
(315) 458-8455
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
025524
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02358872
—
NY
01
—
2064706
PK
—
Enumeration date
09/12/2006
Last updated
03/30/2016
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