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Organization

200 BASSETT ROAD OPERATING COMPANY, LLC

Active
Parent organization
200 BASETT ROAD OPERATING COMPANY, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
200 BASETT ROAD OPERATING COMPANY, LLC
Authorized official
MR. GREGORY HOOK (CHIEF COMPLIANCE OFFICER)
(212) 802-7609
Entity
Organization

Contact information

Practice address
200 BASSETT RD, WILLIAMSVILLE, NY 14221-2639
(716) 689-6681
Mailing address
641 LEXINGTON AVE, 31ST FLOOR, NEW YORK, NY 10022-4503
(212) 802-7609
(646) 924-0520

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
031932
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
031932
NY STATE BOARD OF PHARMACY REGISTRATION
NY
Enumeration date
09/04/2013
Last updated
09/04/2013
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