Organization
WATER STREET PHARMACY INC.
Active
Other names
Village Drug
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY L KNAPP RPH (PRESIDENT)
(315) 536-0100
Entity
Organization
Contact information
Practice address
126 MAIN ST, PENN YAN, NY 14527-1247
(153) 536-0100
(315) 536-0109
Mailing address
126 MAIN ST, PENN YAN, NY 14527-1247
(153) 536-0100
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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