Organization
STAMFORD PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERN BARNES (PRESIDENT)
(607) 652-7458
Entity
Organization
Contact information
Practice address
119 MAIN ST, STAMFORD, NY 12167-1159
(607) 652-7233
Mailing address
119 MAIN ST, STAMFORD, NY 12167-1159
(607) 652-7233
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
009314
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00516692
—
NY
01
—
009314
STATE LICENSE NUMBER
NY
Enumeration date
02/06/2007
Last updated
08/22/2020
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