Organization
PROVISIONS PLUS INC
Active
Other names
Provisions Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NICK PARTRICK RPH (VP OWNER)
(585) 765-2492
Entity
Organization
Contact information
Practice address
11 SOUTH MAIN ST., LYNDONVILLE, NY 14098
(585) 765-2492
(585) 765-9524
Mailing address
11 S MAIN ST, PO BOX 479, LYNDONVILLE, NY 14098
(585) 765-2492
(585) 765-9524
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
022922
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01657721
—
NY
Enumeration date
02/22/2007
Last updated
08/22/2020
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