Organization
PHARMACEUTIC LABS
Active
Other names
Pharmaceutic Labs
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTO SAMUEL (CEO)
(518) 608-1060
Entity
Organization
Contact information
Practice address
15 WALKER WAY, ALBANY, NY 12205-4945
(518) 608-1060
(518) 608-6109
Mailing address
15 WALKER WAY, ALBANY, NY 12205-4945
(518) 608-1060
(518) 608-6109
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
033020
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166396
PK
—
Enumeration date
11/29/2016
Last updated
11/29/2016
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