Organization
HERBST PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW LOWELL HERBST RPH (PRESIDENT)
(315) 776-4372
Entity
Organization
Contact information
Practice address
1 CHURCH ST, PORT BYRON, NY 13140
(315) 776-4372
(315) 776-4379
Mailing address
PO BOX 314, PORT BYRON, NY 13140-0314
(315) 776-4372
(315) 776-4379
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NY
Other
Enumeration date
01/24/2011
Last updated
08/22/2011
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