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South Park Pharmacy Llc
Community/Retail Pharmacy in Lackawanna, New York
NPI 1922135763

South Park Pharmacy Llc is a Community/Retail Pharmacy based in Lackawanna, NY and is specialized in Community/Retail Pharmacy. South Park Pharmacy Llc practices in Lackawanna, NY. The NPI Number for South Park Pharmacy Llc is 1922135763 and holds a License No. (New York).

The current practice location address for South Park Pharmacy Llc is 2707 S Park Ave, Lackawanna, NY and can be reached out via phone at 716-823-0440 and via fax at 716-823-0444.

Location: 2707 S Park Ave, Lackawanna, NY, 14218-1511
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922135763
Provider Name
South Park Pharmacy Llc
Credential
Provider Entity Type
Organization
Address
2707 S Park Ave, Lackawanna, NY, 14218-1511
Phone Number
716-823-0440
Fax Number
716-823-0444
Provider Enumeration Date
02/28/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2068947 01 PK
02885981 05 NY
institution
Provider Business Practice Location Address Details
Address
2707 S Park Ave
City
Lackawanna
State
New York
Zip
14218-1511
Phone Number
716-823-0440
Fax Number
716-823-0444
person
Provider Business Mailing Address Details
Address
2707 S Park Ave
City
Lackawanna
State
New York
Zip
14218-1511
Phone Number
716-823-0440
Fax Number
716-823-0444
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
028253 (New York)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
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.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
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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