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Organization

GLENS FALLS HOSPITAL INC

Active
Other names
Glens Falls Hospital Community Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MITCHELL AMADO (CHIEF FINANCIAL OFFICER)
(518) 926-5113
Entity
Organization

Contact information

Practice address
100 PARK ST, GLENS FALLS, NY 12801-4447
(518) 926-2540
(518) 926-2533
Mailing address
100 PARK ST, GLENS FALLS, NY 12801-4447
(518) 926-2540
(518) 926-2533

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
006069
NY
183500000X
Pharmacist
3336C0003X
Community/Retail Pharmacy
Primary
3336C0004X
Compounding Pharmacy
3336S0011X
Specialty Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02975299
NY
01
3335800
NABP
Enumeration date
07/26/2006
Last updated
11/09/2022
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