Portville Pharmacy Inc in Bolivar - Community/retail Pharmacy

Portville Pharmacy Inc - NPI 1750326195

Portville Pharmacy Inc is a Community/retail Pharmacy in Bolivar, New York. Portville Pharmacy Inc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Portville Pharmacy Inc is 1750326195. The last update date is 2010-12-21.

Portville Pharmacy Inc's current location address is 323 Main St, Bolivar, New York. You can contact this provider via phone number 5859281530 and fax number 5859282972. The mailing address for Portville Pharmacy Inc is 323 Main St, Bolivar, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Portville Pharmacy Inc
Address 323 Main St, Bolivar, New York
Phone Number 5859281530
Fax Number 5859282972
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Van Curen Beverly
Telephone Number 5859281530

NPI Number Detail

NPI Number 1750326195
Provider Enumeration Date 2006-06-19
Last Updated Date 2010-12-21

Provider Mailing Address Detail

Address 323 Main St
City Bolivar
State New York (NY)
Post Code 147151108
Phone Number 5859281530
Fax Number 5859282972

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
Licence No 17472
Definition:
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
623309 NY --
3320544 NCPDP PROVIDER IDENTIFICATION

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FAQs about Portville Pharmacy Inc

What is the unique 10-digit identifier code assigned to Portville Pharmacy Inc by the Centers for Medicare & Medicaid Services?

The Portville Pharmacy Inc has been issued the NPI (National Provider Identifier) 1750326195 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Portville Pharmacy Inc is physically located?

The Portville Pharmacy Inc is situated at the following address: 323 Main St, Bolivar, NY 147151108.

What is Portville Pharmacy Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Portville Pharmacy Inc's specialized field of practice is Community/retail Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 3336C0003X.

On what date was the 1750326195 assigned to Portville Pharmacy Inc?

The Portville Pharmacy Inc was issued its 1750326195 on 2006-06-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Portville Pharmacy Inc most recently updated or revised?

The information pertaining to Portville Pharmacy Inc, including its address, specialty, and other relevant details, was last updated or revised on 2010-12-21.

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