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Organization

STATE OF NEW YORK OFFICE OF STATE COMPTROLLER

Active
Other names
Attica Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
RYAN QUINN PENEYRA GUILARAN (DIRECTOR OF PHARMACY SERVICES)
(518) 445-6176
Entity
Organization

Contact information

Practice address
639 EXCHANGE STREET RD, ATTICA, NY 14011-9647
(518) 445-6176
Mailing address
1220 WASHINGTON AVE BLDG 4, ALBANY, NY 12226-1799

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary

Other

Enumeration date
08/08/2025
Last updated
08/08/2025
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