South Park Pharmacy LLC
South Park Pharmacy LLC is a Durable Medical Equipment & Medical Supplies in Lackawanna, New York. Licensed in New York. Registered with an NPI since 2007.
- Licensed in
- NY
- In the registry since
- 2007
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2707 S Park AveLackawanna, NY 14218-1511
Phone: (716) 823-0440
Fax: (716) 823-0444
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence 028253 (NY) |
|---|---|
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
| Pharmacy | Taxonomy 333600000X |
Record details
| NPI number | 1922135763 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shawn Shelton — Owner/Pic/Ao · (716) 823-0440 |
| Other names | South Park Pharmacy |
| NPI enumerated | February 28, 2007 |
| Last updated in NPPES | April 21, 2017 |
| Mailing address | 2707 S Park Ave, Lackawanna, NY 14218-1511 |
Other providers in Lackawanna
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Kathleen J. Cardamone
1674 Abbott Rd, Lackawanna, NY 14218-2939 · (716) 824-2243
-
Kc 717 Inc
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-
Michael J Pietrusik DPM
3277 S Park Ave, Lackawanna, NY 14218-3527 · (716) 822-3411
-
Rite Aid of New York Inc
3071 3085 South Park Ave, Lackawanna, NY 14218-3107 · (716) 824-6263
-
Walgreen Eastern Co Inc
1328 Abbott Rd, Lackawanna, NY 14218-1910 · (716) 828-1696