Organization
FULTON COUNTY RHCF PHARMACY
Active
Other names
FULTON COUNTY RESIDENT HEALTH CARE FACILITY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DESIENO RPH (SUPERVISING PHARMACIST)
(518) 773-3471
Entity
Organization
Contact information
Practice address
847 COUNTY HIGHWAY 122, GLOVERSVILLE, NY 12078-6413
(518) 773-3471
(518) 725-4764
Mailing address
847 COUNTY HIGHWAY 122, GLOVERSVILLE, NY 12078-6413
(518) 773-3471
(518) 725-4764
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
020462
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02209543
—
NY
01
—
2059521
PK
—
Enumeration date
09/16/2005
Last updated
10/10/2016
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