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Organization

MEAD SQUARE PHARMACY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHRISTOPHER KEVIN CASEY R.PH. (PRESIDENT)
(585) 924-7970
Entity
Organization

Contact information

Practice address
7249 STATE ROUTE 96, VICTOR, NY 14564-9009
(585) 924-7970
(585) 924-8329
Mailing address
7249 STATE ROUTE 96, VICTOR, NY 14564-9009
(585) 924-7970
(585) 924-8329

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
025452
NY
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02323724
NY
Enumeration date
11/27/2006
Last updated
07/01/2025
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