EDEN PARK PHARMACY SUPPLY CO. INC. NPI 1811060932

NPI Information

EDEN PARK PHARMACY SUPPLY CO., INC. is a pharmacy in Albany, 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. EDEN PARK PHARMACY SUPPLY CO., INC. NPI is 1811060932. The provider is registered as an organization entity type.

The provider's business location address is:

16 WALKER WAY
ALBANY, NY
ZIP 12205-995
Phone: (518) 452-7795

The provider's authorized official is Robert Glock .
The authorized official title is President and has the following contact phone number (518) 436-4731.

The enumeration date for this NPI number is 11/16/2006 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:

Other Identifiers

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

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