Organization
BIGELOWS PHARMACY INC
Active
Other names
SERVICE PHARMACY SHERBURNE
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KWASNIK RPH (PIC)
(607) 674-9691
Entity
Organization
Contact information
Practice address
6 N MAIN ST, SHERBURNE, NY 13460-9545
(607) 674-9691
(607) 674-4428
Mailing address
6 N MAIN ST, PO BOX 487, SHERBURNE, NY 13460-9545
(607) 674-9691
(607) 674-4428
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
012930
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00550445
—
NY
01
—
2067340
PK
—
Enumeration date
12/04/2006
Last updated
04/06/2017
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