Organization
MAIN STREET PHARMACY OF MARCELLUS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES DANIEL CATALDI (PRESIDENT/PHARMACIST)
(315) 673-2410
Entity
Organization
Contact information
Practice address
11 E MAIN ST, MARCELLUS, NY 13108-1224
(315) 673-2410
(315) 673-4668
Mailing address
11 E MAIN ST, MARCELLUS, NY 13108-1224
(315) 673-2410
(315) 673-4668
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
025325
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02269450
—
NY
Enumeration date
10/26/2006
Last updated
08/22/2020
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