Old Roswell Holdings LLC
Pharmacy, Long Term Care Pharmacy in Binghamton, NY. Organization (NPI-2).
NPI number1124136296
StatusActive
Last updated in NPPESApr 29, 2025
Details
- NPI
- 1124136296
- Entity type
- Organization (NPI-2)
- Legal business name
- Old Roswell Holdings LLC
- Organization subpart
- No
- Enumeration date
- Aug 28, 2006
- Certification date
- Mar 31, 2025
- Last updated
- Apr 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | 027659 | NY | Yes |
Other names
- The Medicine Shoppe (Doing Business As)
Practice location
1179 Vestal AveSte. 2
Binghamton, NY 13903-1606
Phone 607-217-4845 · Fax 607-217-5061
Mailing address
5064 Roswell Rd Ste A200Atlanta, GA 30342-2252
Phone 404-459-8005 · Fax 404-256-5517
Authorized official
Tracy Eden
Manager
4044598005
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