Organization
ADDISONS APOTHECARY INC
Active
Other names
Addison's Apothecary Inc
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PAGANO (PRESIDENT)
(607) 962-3578
Entity
Organization
Contact information
Practice address
36 MAIN ST, ADDISON, NY 14801-1210
(607) 504-4091
(607) 504-4107
Mailing address
36 MAIN ST, ADDISON, NY 14801-1210
(607) 504-4091
(607) 504-4107
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
029862
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2122918
PK
—
05
—
3182318
—
NY
Enumeration date
10/30/2009
Last updated
08/12/2016
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