Clifton Springs Sanitarium Co
Pharmacy, Clinic Pharmacy in Clifton Springs, NY. Organization (NPI-2).
NPI number1497314652
StatusActive
Last updated in NPPESMar 16, 2020
Details
- NPI
- 1497314652
- Entity type
- Organization (NPI-2)
- Legal business name
- Clifton Springs Sanitarium Co
- Organization subpart
- Yes
- Enumeration date
- Jun 11, 2019
- Certification date
- Mar 16, 2020
- Last updated
- Mar 16, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0002X | Pharmacy, Clinic Pharmacy | – | – | Yes |
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – |
Other names
- Clifton Springs Hospital Pharmacy (Doing Business As)
- Clifton Springs Hospital & Clinic Pharmacy (Doing Business As)
Practice location
2 Coulter RdClifton Springs, NY 14432-1122
Phone 315-462-1250
Mailing address
2 Coulter RdClifton Springs, NY 14432-1122
Phone 315-462-1250
Authorized official
Patricia Patton
Manager Provider Enrollment
5859220527
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