Organization
LITTLE WING PHARMACY INC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MCDONALD RPH (OWNER PHARMACIST)
(315) 735-7979
Entity
Organization
Contact information
Practice address
18 KELLOGG RD, NEW HARTFORD, NY 13413-2825
(315) 735-7979
(315) 735-7388
Mailing address
18 KELLOGG RD, NEW HARTFORD, NY 13413-2825
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
023009
NY
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01681098
—
NY
01
—
3315036
NCPDP #
NY
01
—
3315036
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/31/2006
Last updated
03/07/2023
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