New York State Department of Health, Wadsworth Center
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CVS Pharmacy No. 00418
PFI: F352 Secondary Site ID: 0000 Certification Type: WAIVER Director: Rajen R Pandya,RPh Phone: (845) 462-2791 Fax: (401) 652-9541 Address: 2503 South Rd, Poughkeepsie, NY 12601 County: Dutchess Country: United States Single or Primary Contact: Maria Medeiros Contact Phone: (401) 770-1610 CLIA #: 33D2261657
PFI: F353 Secondary Site ID: 0000 Certification Type: WAIVER Director: Daniella A Pina, Pharm.D. Phone: (516) 694-6210 Fax: (401) 652-9541 Address: 450 Main St, Farmingdale, NY 11735 County: Nassau Country: United States Single or Primary Contact: Maria Medeiros Contact Phone: (401) 770-1610 CLIA #: 33D2261655
PFI: F355 Secondary Site ID: 0000 Certification Type: WAIVER Director: Robert M Sold, Pharm.D. Phone: (585) 742-1910 Fax: (401) 652-9541 Address: 1259 Rte 332, Farmington, NY 14425 County: Ontario Country: United States Single or Primary Contact: Maria Medeiros Contact Phone: (401) 770-1610 CLIA #: 33D2261652
PFI: F357 Secondary Site ID: 0000 Certification Type: WAIVER Director: Harry L Phelps, Pharm.D. Phone: (518) 725-8661 Fax: (401) 652-9541 Address: 1013 State Hwy 29A, Gloversville, NY 12078 County: Fulton Country: United States Single or Primary Contact: Maria Medeiros Contact Phone: (401) 770-1610 CLIA #: 33D2261650
PFI: F361 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ray M King, Pharm.D. Phone: (631) 399-0324 Fax: (401) 652-9541 Address: 496 County Rd 111 - Bldg C, Manorville, NY 11949 County: Suffolk Country: United States Single or Primary Contact: Maria Medeiros Contact Phone: (401) 770-1610 CLIA #: 33D2261646
PFI: F362 Secondary Site ID: 0000 Certification Type: WAIVER Director: Sara T Martin, Pharm.D. Phone: (716) 648-1610 Fax: (401) 652-9541 Address: 7182 Boston State Rd, Hamburg, NY 14075 County: Erie Country: United States Single or Primary Contact: Maria Medeiros Contact Phone: (401) 770-1610 CLIA #: 33D2261645
PFI: F365 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael D Panko, Pharm.D. Phone: (845) 534-2506 Fax: (401) 652-9541 Address: 65 Quaker Ave, Cornwall, NY 12518 County: Orange Country: United States Single or Primary Contact: Maria Medeiros Contact Phone: (401) 770-1610 CLIA #: 33D2261641
PFI: F372 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mark J Klion, M.D. Phone: (617) 466-9356 Fax: Address: 38 E 37th St, New York, NY 10016 County: New York Country: United States Single or Primary Contact: Hayden Stone Contact Phone: (617) 466-9356 CLIA #: 33D2262105
PFI: F373 Secondary Site ID: 0000 Certification Type: WAIVER Director: Bei V Guo,RPh Phone: (718) 975-0530 Fax: (718) 975-0531 Address: 2173C 68th St, Brooklyn, NY 11204 County: Kings Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2263243