Organization
ALFRED PHARMACY INC
Active
Other names
ALFRED PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY GRAZIANO RPH (OWNER)
(607) 587-9222
Entity
Organization
Contact information
Practice address
36 N MAIN ST, ALFRED, NY 14802-1011
(607) 587-9222
(607) 587-9629
Mailing address
36 N MAIN ST, ALFRED, NY 14802-1011
(607) 587-9222
(607) 587-9629
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
019532
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00947975
—
NY
01
—
2064294
PK
—
Enumeration date
08/31/2006
Last updated
05/01/2017
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