Organization
NYS DOCCS WALSH RMU PHARMACY
Active
Parent organization
NEW YORK STATE
Other names
NYS DOCCS WALSH RMU Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW YORK STATE
Authorized official
CARRIE RYAN RPH (PHARMACY SUPERVISOR)
(315) 339-5232
Entity
Organization
Contact information
Practice address
6514 ROUTE 26, BUILDING 52, ROME, NY 13442-8450
(315) 339-5232
Mailing address
6514 ROUTE 26 PO BOX 8450, BUILDING 52, ROME, NY 13442-8450
(315) 339-5232
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020715
NYS PHARMACY LICENSE
NY
Enumeration date
09/13/2021
Last updated
09/13/2021
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