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CLINTWOOD APOTHECARY LLC NPI 1033155585


NPI Information

NPI: 1033155585
Provider Name: CLINTWOOD APOTHECARY LLC
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
343 CLINTON ST
BINGHAMTON, NY
ZIP 13905
Phone: (607) 729-6972
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CLINTWOOD APOTHECARY LLC is a pharmacy in Binghamton, NY. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. CLINTWOOD APOTHECARY LLC NPI is 1033155585. The provider is registered as an organization entity type.

The provider's business location address is:

343 CLINTON ST
BINGHAMTON, NY
ZIP 13905-017
Phone: (607) 729-6972
Fax: (607) 729-0177

The provider's authorized official is Edward Landry .
The authorized official title is Member / President and has the following contact phone number (607) 727-7770.

The enumeration date for this NPI number is 6/22/2006 and was last updated on 8/22/2020.


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
1333600000XPharmacy023176NEW YORKYes
23336L0003XPharmacyLong Term Care PharmacyX

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
101724758MEDICAIDNEW YORK
23365411OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
301950481MEDICAIDPENNSYLVANIA

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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