ELLICOTTVILLE PHARMACY INC

Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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Contact Information

ELLICOTTVILLE PHARMACY INC

6133 ROUTE 219 S
STE 1004
ELLICOTTVILLE, NY 14731-9613

Phone: 716-699-2300
Fax: 716-699-5508
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist
Long Term Care Pharmacy	3336L0003X	58	Medical Supply Company with Pharmacist
Managed Care Organization Pharmacy	3336M0003X	58	Medical Supply Company with Pharmacist
Pharmacy	333600000X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for ELLICOTTVILLE PHARMACY INC

NPI # 1316971856

LBN Legal business name ELLICOTTVILLE PHARMACY INC

Authorized official BENJAMIN GILROY - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/10/2006

Last updated 10/23/2023 - About 3 years ago

Identifiers

NY	License #	017405
NY	Medicaid	00745102
	Other	2060679	PK

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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