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HENDERSON DRUG 10 INC NPI 1114169851


NPI Information

NPI: 1114169851
Provider Name: HENDERSON DRUG 10, INC

Doing Business As: HENDERSON'S DRUG STORE

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
210 N FRANKLIN ST
WATKINS GLEN, NY
ZIP 14891
Phone: (607) 535-4660
Get Directions

HENDERSON DRUG 10, INC is a pharmacy in Watkins Glen, 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. HENDERSON DRUG 10, INC NPI is 1114169851. The provider is registered as an organization entity type.
The provider Is Doing Business As Henderson's Drug Store.

The provider's business location address is:

210 N FRANKLIN ST
WATKINS GLEN, NY
ZIP 14891-224
Phone: (607) 535-4660
Fax: (604) 535-4550

The provider's authorized official is Lawrence A Jepsen .
The authorized official title is President and has the following contact phone number (607) 535-4999.

The enumeration date for this NPI number is 3/26/2009 and was last updated on 2/18/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacy029286NEW YORKYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16225900001MEDICARE NSCNEW 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: 4/28/2024

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