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Organization

FREDS PHARMACY LLC

Active
Other names
Freds Granville Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
FREDERICK W DOLTZ RPH (OWNER/SUPERVISING PHARMACIST)
(518) 642-3733
Entity
Organization

Contact information

Practice address
75 QUAKER ST, GRANVILLE, NY 12832-1519
(518) 642-3733
(518) 642-3737
Mailing address
75 QUAKER ST, GRANVILLE, NY 12832-1519
(518) 642-3733
(518) 642-3737

Taxonomy

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

Other

Enumeration date
05/16/2024
Last updated
05/16/2024
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