Organization
NATURES APOTHECARY LLC
Active
Other names
Nature's Apothecary
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN BURKE (OWNER/ PHARMACIST)
(607) 273-3100
Entity
Organization
Contact information
Practice address
301 S MEADOW ST, ITHACA, NY 14850-5215
(607) 273-3100
(607) 273-7979
Mailing address
301 S MEADOW ST, ITHACA, NY 14850-5215
(607) 273-3100
(607) 273-7979
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
034303
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160960
PK
—
Enumeration date
05/10/2016
Last updated
07/12/2016
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