Organization
APPLE COMMUNITY PHARMACY
Active
Other names
APPLE COMMUNITY PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT RUSSELL RPH (PHARMACIST AND PRESIDENT)
(518) 899-6063
Entity
Organization
Contact information
Practice address
3 HEMPHILL PL, SUITE 116, MALTA, NY 12020-4419
(518) 899-6063
(518) 899-6064
Mailing address
3 HEMPHILL PL, STE 116, MALTA, NY 12020-4419
(518) 899-6063
(518) 899-6064
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
020713
NY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01198521
—
NY
01
—
3396909
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/01/2007
Last updated
09/01/2009
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