| Organization Name: | OMNICARE OF NEW YORK, LLC |
| NPI Number: | 1033289582 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUSAN COLBERT (SR DIRECTOR, PAYER RELATIONS) |
| Mailing Address: | 342 Northern Lights Dr North Syracuse |
| State: | NY US |
| Postal Code: | 132124127 |
| Phone Number: | 3154557925 |
| Fax Number: | 3154556128 |
| NPI Enumeration Date: | 11/09/2006 |
| NPI Last Update Date: | 11/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BP3500X |
| License Number: | 023288 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Parenteral & Enteral Nutrition |
| Taxonomy Definition: | |