Healthcare Provider Details

I. General information

NPI: 1417099292
Provider Name (Legal Business Name): HAMMECKER PHARMACIES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 04/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6805 MCALPINE STREET
LYONS FALLS NY
13368-0265
US

IV. Provider business mailing address

6805 MCALPINE STREET
LYONS FALLS NY
13368-0265
US

V. Phone/Fax

Practice location:
  • Phone: 315-348-8121
  • Fax: 315-348-6120
Mailing address:
  • Phone: 348-348-8121
  • Fax: 315-348-6120

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number019592
License Number StateNY

VIII. Authorized Official

Name: LORI FARQUHAR
Title or Position: PHARMACIST/OWNER
Credential:
Phone: 315-348-8121