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1063574739
OLD TOWN PHARMACY, INC
STATEN ISLAND, NY
NPI
1063574739
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Entity Type
Organization
Authorized Contact
INNA ICHTCHENKO
Prsident
718-815-2600
Organization Subpart ?
No
Primary Taxonomy
3336C0003X Pharmacy Community/Retail Pharmacy
Enumeration Date
2006-12-15
Last Update Date
2021-08-31
Business Address
OLD TOWN PHARMACY, INC
1250 HYLAN BLVD STE 3A
STATEN ISLAND, NY 10305-1944
Phone number: 718-815-2600
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Mailing Address
OLD TOWN PHARMACY, INC
1250 HYLAN BLVD
STATEN ISLAND, NY 10305-1943
Phone number: 718-815-2600
Copy
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