Wolcott Village Pharmacy INC

NPI #1720129448 in Wolcott, New York

Provider Information

NPI Number: 1720129448
Entity Type: Organization
Organization Name: Wolcott Village Pharmacy INC
Primary Specialty: Pharmacist
Enumeration Date: Feb 8, 2007
Last Updated: May 9, 2011

Practice Location

Address: 12026 E MAIN ST
City: Wolcott
State: New York
ZIP Code: 14590-1022
Phone: (315) 594-1212

Authorized Official

Name: MR. DONALD THOMAS COLLEA
Title: OWNER SUPERVISING PHARMACIST
Phone: (315) 594-1212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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