Organization
VERNAK FARMS COUNTRY STORE
Active
Other names
Vernak Farms Country Store
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE VERNAK (RPH/PARTNER/OWNER)
(315) 430-5486
Entity
Organization
Contact information
Practice address
1889 E LAKE RD, SKANEATELES, NY 13152-8964
(315) 673-9327
(315) 673-9896
Mailing address
1889 E LAKE RD, SKANEATELES, NY 13152-8964
(315) 673-9327
(315) 673-9896
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
030357
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2126156
PK
—
Enumeration date
08/04/2010
Last updated
04/18/2017
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