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General NPI Number Information
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NPI Number | 1619009263
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Entity Type | Organization
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Legal Business Name | MCCANN DRUG CO INC
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 166 MAIN ST
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City | HUDSON FALLS
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State | NY
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Zip | 12839-1814
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Country | US
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Telephone | 518-747-4732
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Fax | 518-747-6667
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Provider Business Mailing Address
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Address Line | PO BOX 88
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City | HUDSON FALLS
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State | NY
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Zip | 12839-0088
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | JASON MC CANN
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Credential |
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Telephone | 518-747-4732
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 014729
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License Number State | NY
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