Organization
WY CNTY COMM HOSP
Active
Other names
WY CNTY COMM HOSP
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES BUROMETTO RPH (SR PHCIST)
(585) 786-8940
Entity
Organization
Contact information
Practice address
400 N MAIN ST, WARSAW, NY 14569-1025
(585) 786-8940
(585) 786-1240
Mailing address
400 N MAIN ST, WARSAW, NY 14569-1025
(585) 786-8940
(585) 786-1240
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
006545
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00310889
—
NY
01
—
2066371
PK
—
Enumeration date
06/14/2006
Last updated
09/21/2016
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