Organization Name: | CRM-CANANDAIGUA LLC |
NPI Number: | 1427315266 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFF HETRICK (CHIEF OPERATING OFFICER) |
Mailing Address: | 66 West Ave Canandaigua |
State: | NY US |
Postal Code: | 144241521 |
Phone Number: | 5853969970 |
Fax Number: | 5853967264 |
NPI Enumeration Date: | 04/18/2012 |
NPI Last Update Date: | 06/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 333600000X |
License Number: | 031319 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |