Healthcare Provider Details

I. General information

NPI: 1750161006
Provider Name (Legal Business Name): DOBBINS DRUGS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2023
Last Update Date: 10/04/2023
Certification Date: 10/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

52 WILLIAM ST
LYONS NY
14489-1545
US

IV. Provider business mailing address

52 WILLIAM ST
LYONS NY
14489-1545
US

V. Phone/Fax

Practice location:
  • Phone: 315-946-6691
  • Fax: 315-946-4091
Mailing address:
  • Phone: 315-946-6691
  • Fax: 315-946-4091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SEAN CHRISTIAN DOBBINS
Title or Position: RPH/PRES/OWNER
Credential:
Phone: 315-946-6691