Organization
MAHAKALI CORPORATION
Active
Other names
Gloversville Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HASMUKHKUMAR PATEL RPH (SUPERVISOR)
(518) 725-4400
Entity
Organization
Contact information
Practice address
42 N MAIN ST, GLOVERSVILLE, NY 12078-3004
(518) 725-4400
(518) 725-4700
Mailing address
42 N MAIN ST, GLOVERSVILLE, NY 12078-3004
(518) 725-4400
(518) 725-4700
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
031342
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03490026
—
NY
Enumeration date
06/05/2012
Last updated
04/24/2021
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