Organization
PROFESSIONAL COMMUNITY PHARMACIES INC
Active
Other names
Frewsburg Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY NELSON (PRESIDENT)
(716) 569-2221
Entity
Organization
Contact information
Practice address
26 W MAIN ST, FREWSBURG, NY 14738-9665
(716) 569-2221
(716) 569-2280
Mailing address
PO BOX 503, FREWSBURG, NY 14738-0503
(716) 569-2221
(716) 569-2280
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
026201
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2132189
PK
—
Enumeration date
09/21/2006
Last updated
08/12/2016
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