Organization
CDSRX, LLC
Active
Other names
Holley Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LUCAS J MILLER (DIRECTOR OF PHARMACY)
(585) 638-5499
Entity
Organization
Contact information
Practice address
3 GEDDES STREET EXT, HOLLEY, NY 14470-1122
(585) 638-5499
(585) 638-6149
Mailing address
3 GEDDES STREET EXT, HOLLEY, NY 14470-1122
(585) 638-5499
(585) 638-6149
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
033281
NY
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2149007
PK
—
Enumeration date
06/19/2006
Last updated
09/30/2021
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