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VINCE'S PHARMACY OF CAMILLUS INC NPI 1962129247


NPI Information

NPI: 1962129247
Provider Name: VINCE'S PHARMACY OF CAMILLUS INC
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
240 TOWNSHIP BLVD STE 30
CAMILLUS, NY
ZIP 13031
Phone: (315) 487-5775
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VINCE'S PHARMACY OF CAMILLUS INC is a long term care pharmacy pharmacy in Camillus, NY. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. VINCE'S PHARMACY OF CAMILLUS INC NPI is 1962129247. The provider is registered as an organization entity type.

The provider's business location address is:

240 TOWNSHIP BLVD STE 30
CAMILLUS, NY
ZIP 13031-793
Phone: (315) 487-5775
Fax: (315) 487-4423

The provider's authorized official is Michael Machen .
The authorized official title is President and has the following contact phone number (315) 487-5775.

The enumeration date for this NPI number is 10/26/2022 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336L0003XPharmacyLong Term Care PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1018681OTHERNEW YORKNYS
20719740001OTHERNEW YORKMEDICARE
300905748MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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