Organization
COTTRILLS PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID OBROCHTA (PRESIDENT/OWNER)
(716) 508-8481
Entity
Organization
Contact information
Practice address
255 MAIN ST, ARCADE, NY 14009-1214
(585) 492-2310
(585) 492-2310
Mailing address
255 MAIN ST, ARCADE, NY 14009-1214
(585) 492-2310
(585) 492-2310
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
011114
NY
3336C0003X
Community/Retail Pharmacy
Primary
011114
NY
3336H0001X
Home Infusion Therapy Pharmacy
011114
NY
3336S0011X
Specialty Pharmacy
011114
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00596570
—
NY
05
—
0093115
—
OH
05
—
079044300
—
MD
05
—
1027458620001
—
PA
05
—
201398270A
—
IN
05
—
232725
—
AZ
05
—
3001456
—
UT
05
—
45107301
—
NM
Enumeration date
11/08/2006
Last updated
03/22/2022
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