Organization
OLDE CANAL PHARMACY INC
Active
Other names
MILLERS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WELSCH (PRESIDENT)
(585) 889-3510
Entity
Organization
Contact information
Practice address
201 SCOTTSVILLE W HENRIETTA RD, WEST HENRIETTA, NY 14586-9596
(585) 889-3510
(585) 334-5833
Mailing address
201 SCOTTSVILLE W HENRIETTA RD, SUITE 1, WEST HENRIETTA, NY 14586-9596
(585) 889-3510
(585) 334-5833
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
022482
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01569171
—
NY
01
—
2057593
PK
—
Enumeration date
01/30/2007
Last updated
06/08/2016
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