Organization
BAINBRIDGE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN PAUL GREENMAN JR. RPH (PRESIDENT)
(607) 967-5143
Entity
Organization
Contact information
Practice address
19 N MAIN ST, BAINBRIDGE, NY 13733-1210
(607) 967-5143
(607) 967-5441
Mailing address
19 N MAIN ST, BAINBRIDGE, NY 13733-1210
(607) 967-5143
(607) 967-5441
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
012329
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00574965
—
NY
Enumeration date
12/07/2006
Last updated
08/22/2020
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