Nys Doccs Mohawk Correctional Facility Pharmacy

NPI #1770135246 in Rome, New York

Provider Information

NPI Number: 1770135246
Entity Type: Organization
Organization Name: Nys Doccs Mohawk Correctional Facility Pharmacy
Primary Specialty: Pharmacist
Enumeration Date: Jul 15, 2019
Last Updated: Jul 15, 2019

Practice Location

Address: 6514 RT. 26
Address 2: BUILDING 55
City: Rome
State: New York
ZIP Code: 13442
Phone: (315) 339-5232

Authorized Official

Name: LISA MARIE WELLER, RPH
Title: SUPERVISING PHARMACIST
Phone: (315) 339-5232

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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