Organization
CLINTWOOD PHARMACY LLC
Active
Other names
CLINTWOOD PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TODD LANDRY (MEMBER AND PHARMACIST)
(607) 729-2234
Entity
Organization
Contact information
Practice address
343 CLINTON ST, BINGHAMTON, NY 13905-2017
(607) 729-2234
(607) 729-0939
Mailing address
PO BOX 155, VESTAL, NY 13851-0155
(607) 729-2234
(607) 770-0939
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
023176
NY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01724758
—
NY
01
—
3365411
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/03/2006
Last updated
10/19/2010
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