Ellis Nott Street Pharmacy LLC
Pharmacy, Community/Retail Pharmacy in Schenectady, NY. Organization (NPI-2).
NPI number1871024992
StatusActive
Last updated in NPPESFeb 29, 2024
Details
- NPI
- 1871024992
- Entity type
- Organization (NPI-2)
- Legal business name
- Ellis Nott Street Pharmacy LLC
- Organization subpart
- No
- Enumeration date
- Mar 21, 2017
- Certification date
- Feb 29, 2024
- Last updated
- Feb 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 035438 | NY | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Nott Street Pharmacy (Other Name)
Practice location
1101 Nott StSchenectady, NY 12308-2425
Phone 518-612-8833 · Fax 518-612-8873
Mailing address
1101 Nott StSchenectady, NY 12308-2425
Phone 518-612-8833 · Fax 518-612-8873
Authorized official
Jean Lange
Director Of Pharmacy/Ao
5188318874
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