Organization
MARION PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL E. JOHNSON RPH (PRESIDENT)
(315) 926-5636
Entity
Organization
Contact information
Practice address
3803 SOUTH MAIN ST., MARION, NY 14505
(315) 926-5636
Mailing address
PO BOX 47, MARION, NY 14505-0047
(315) 926-5636
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
022531
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01585051
—
NY
Enumeration date
10/11/2005
Last updated
11/23/2009
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