Organization
PRICE CHOPPER INC
Active
Other names
Price Chopper Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT A MAINELLA RPH (PHARMACY THIRD PARTY ADMINISTRATOR)
(518) 379-1618
Entity
Organization
Contact information
Practice address
943 WOLCOTT ST, WATERBURY, CT 06705-1301
(203) 591-8468
(203) 591-8638
Mailing address
521 DUANESBURG RD, SCHENECTADY, NY 12306-1054
(518) 379-1618
(518) 356-6978
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PCY1831
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004234895
—
CT
Enumeration date
08/17/2006
Last updated
03/10/2009
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