Vince'S Pharmacy Of Camillus INC
Pharmacy, Community/Retail Pharmacy in Camillus, NY. Organization (NPI-2).
NPI number1114014164
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1114014164
- Entity type
- Organization (NPI-2)
- Legal business name
- Vince'S Pharmacy Of Camillus INC
- Organization subpart
- No
- Enumeration date
- Oct 9, 2006
- Certification date
- Oct 21, 2022
- Last updated
- Mar 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 018681 | NY | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – |
Other names
- The Medicine Shoppe (Doing Business As)
Practice location
240 Township Blvd Ste 30Camillus, NY 13031-1793
Phone 315-487-5775 · Fax 315-487-4423
Mailing address
240 Township Blvd Ste 30Camillus, NY 13031-1793
Phone 315-487-5775 · Fax 315-487-4423
Authorized official
Michael Machen
President
3154875775
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