Willsboro Pharmacy

LBN: Adirondack Apothecary Llc
Willsboro Pharmacy is an health care organization with primary practice located at 3932 Nys Route 22 , Willsboro NY 12996-4507. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Adirondack Apothecary Llc can be contacted via phone (518) 963-8946, or through Cole, Rebecca via phone (518) 532-7575.

Contact Information

Primary practice address
3932 Nys Route 22 Willsboro NY 12996-4507
Phone: (518) 963-8946
Fax: (518) 963-7322
Website:
Map and Directions
Authorized official contact:
Name: Cole, Rebecca PHARMD
Phone: (518) 532-7575

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 028290 New York
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1174667117
LBN Legal business name Adirondack Apothecary Llc
DBA Doing business as Willsboro Pharmacy
Authorized official Cole, Rebecca PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2007
Last updated Jan 28th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174667117 NPPES
New York MEDICAID 2860355
New York Other 2069043

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