Organization
PHAMCO INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANAPONG PANTASRI (SUPERVISING PHARMACIST)
(631) 477-1111
Entity
Organization
Contact information
Practice address
100 FRONT ST, GREENPORT, NY 11944-1616
(631) 477-1111
(631) 477-1218
Mailing address
100 FRONT ST, GREENPORT, NY 11944-1616
(631) 477-1111
(631) 477-1218
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
025440
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025440
BOARD OF PHARMACY
—
01
—
3332169
NABP NUMBER
NY
Enumeration date
04/16/2007
Last updated
05/13/2022
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