Organization
PORTVILLE PHARMACY INC
Active
Other names
DUNNS DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY VAN CUREN (OWNER)
(585) 928-1530
Entity
Organization
Contact information
Practice address
323 MAIN ST, BOLIVAR, NY 14715-1108
(585) 928-1530
(585) 928-2972
Mailing address
323 MAIN ST, BOLIVAR, NY 14715-1108
(585) 928-1530
(585) 928-2972
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
017472
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00623309
—
NY
01
—
3320544
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/19/2006
Last updated
12/21/2010
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