Organization
NEWARK VILLAGE PHARMACY INC
Active
Other names
NEWARK VILLAGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DARREN PYNN RPH (OWNER)
(315) 331-9999
Entity
Organization
Contact information
Practice address
105 W MILLER ST, NEWARK, NY 14513-1422
(315) 331-9999
(315) 331-9958
Mailing address
105 W MILLER ST, NEWARK, NY 14513-1422
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
026257
NY
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02473449
—
NY
01
—
3334769
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/20/2006
Last updated
03/11/2008
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