Organization
J.R. APOTHECARY LLC
Active
Other names
Gananda Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSELITO GASPAR DELOSSANTOS RPH. (OWNER)
(585) 748-2126
Entity
Organization
Contact information
Practice address
1205 MAYBERRY PL, MACEDON, NY 14502-8774
(315) 986-1500
(315) 986-5500
Mailing address
1205 MAYBERRY PL, MACEDON, NY 14502-8774
(315) 986-1500
(315) 986-5500
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
028185
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028185
STATE LICENSE NUMBER
NY
Enumeration date
01/17/2007
Last updated
03/07/2023
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