Organization
ANGELO FRIELLO INC
Active
Other names
Palmer Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MICHAEL FRIELLO (OWNER)
(518) 762-8319
Entity
Organization
Contact information
Practice address
2 E MAIN ST, JOHNSTOWN, NY 12095-2623
(518) 762-8319
(518) 762-5272
Mailing address
2 E MAIN ST, JOHNSTOWN, NY 12095-2623
(518) 762-8319
(518) 762-5272
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
016393
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00530218
—
NY
01
—
0181230001
DMERC SUPPLIER NUMBER
NY
01
—
3334240
NCPDP
NY
Enumeration date
05/22/2006
Last updated
08/20/2024
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