Organization
PRANAY PHARMACY LLC
Active
Other names
The Medicine Shoppe Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ABHISHEK PATEL (MEMBER)
(732) 647-5729
Entity
Organization
Contact information
Practice address
823 BLACK RIVER BLVD N, ROME, NY 13440-3549
(315) 339-0400
(315) 339-0600
Mailing address
823 BLACK RIVER BLVD N, ROME, NY 13440-3549
(315) 339-0400
(315) 339-0600
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
033122
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2148271
PK
—
Enumeration date
05/07/2014
Last updated
01/22/2020
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