Organization
BLENHEIM PHARMACAL, INC.
Active
Other names
Blenheim Pharmacal, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH GRAHAM (VICE PRESIDENT)
(518) 827-3121
Entity
Organization
Contact information
Practice address
119 CREAMERY RD, NORTH BLENHEIM, NY 12131-1613
(518) 827-3121
(866) 223-8434
Mailing address
119 CREAMERY RD, NORTH BLENHEIM, NY 12131-1613
(518) 827-3121
(866) 223-8434
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
026893
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150961
PK
—
Enumeration date
03/25/2015
Last updated
03/25/2015
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