Organization
CONDO PHARMACY, INC
Active
Other names
Condo Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN F MOORE PHARMD (OWNER)
(518) 563-3400
Entity
Organization
Contact information
Practice address
28 MONTCALM AVE, PLATTSBURGH, NY 12901-1533
(518) 563-3400
Mailing address
28 MONTCALM AVE, PLATTSBURGH, NY 12901-1533
(518) 563-3400
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02785835
—
NY
Enumeration date
10/11/2024
Last updated
01/02/2025
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