Peru Pharmacy Inc.

NPI #1528166857 in Peru, New York

Provider Information

NPI Number
1528166857
Entity Type
Organization
Organization Name
Peru Pharmacy Inc.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Sep 20, 2006
Last Updated
Jun 3, 2014

Practice Location

Address
3 GORMAN WAY
City
Peru
ZIP Code
12972-3060
Phone
(518) 643-2318

Authorized Official

Name
MR. LAWRENCE KENNETH SHANLEY, PHARM D
Title
SUPERVISING PHARMACIST/MANAGER
Phone
(518) 643-2318

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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