Organization
ONEIDA MEDICAL CENTER PHARMACY INC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES SHOVLIN RPH (OWNER)
(315) 363-1750
Entity
Organization
Contact information
Practice address
507 LENOX AVE, ONEIDA, NY 13421-1521
(315) 363-1750
Mailing address
507 LENOX AVE, ONEIDA, NY 13421-1521
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
019003
NY
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00969746
—
NY
01
—
3389827
NCPDP
NY
01
—
3389827
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
12/26/2006
Last updated
10/05/2016
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