Organization
CONDO PHARMACY INC
Active
Other names
Condo Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE MOORE PHARMD (VICE PRESIDENT,AO)
(518) 563-3400
Entity
Organization
Contact information
Practice address
28 MONTCALM AVE, PLATTSBURGH, NY 12901-1533
(518) 563-3400
(518) 563-5946
Mailing address
28 MONTCALM AVE, PLATTSBURGH, NY 12901-1533
(518) 563-3400
(518) 563-5946
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
027910
NY
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02785835
—
NY
01
—
2063370
PK
—
Enumeration date
10/11/2005
Last updated
01/02/2025
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