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NPI Code Detail

MEDICARE: NICHOLAS VADNEY PHARMD

MEDICARE: NICHOLAS VADNEY PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist058286NY

General Provider Information

NPI Number : 1972918852
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS VADNEY PHARMD
Provider Business Mailing Address
First Line : 23 MAPLE DR
Second Line :
City : ALBANY
State : NY
Zip : 12205-4314
Country : US
Telephone Number : 518-810-4481
Fax Number :
Provider Business Practice Location Address
First Line : 1400 ALTAMONT AVE
Second Line :
City : SCHENECTADY
State : NY
Zip : 12303-2909
Country : US
Telephone Number : 518-357-2054
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2014
Last Update Date : 06/30/2014

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Directions to “ NICHOLAS VADNEY PHARMD” Practice Location

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