Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Old Roswell Holdings LLC

Organization Long Term Care Pharmacy · NPI 1356154843

Old Roswell Holdings LLC is a Long Term Care Pharmacy in Binghamton, New York. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1179 Vestal Ave Ste 1
Binghamton, NY 13903-1606
Phone: (607) 723-7585
Fax: (607) 773-0936
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X

Record details

NPI number1356154843
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy Eden — Owner · (404) 459-8005
Other names Medicine Shoppe 1517c
NPI enumeratedJanuary 29, 2025
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025
Mailing address5064 Roswell Rd, Atlanta, GA 30342-2281

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