Organization
RAINA PHARMACY LLC
Active
Other names
Red Jacket Pharmacy, Medicine Shoppe 2025
Organization subpart
No
Provider details
NPI number
Authorized official
ABHISHEK PATEL (MEMBER)
(585) 289-3002
Entity
Organization
Contact information
Practice address
113 S MAIN ST, MANCHESTER, NY 14504-9786
(585) 289-3002
(585) 289-8707
Mailing address
PO BOX 86, MANCHESTER, NY 14504-0086
(585) 289-3002
(585) 289-8707
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
033397
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150641
PK
—
Enumeration date
02/26/2015
Last updated
04/18/2017
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