Provider Demographics
NPI:1427602085
Name:CHELSEA DRUGS INC
Entity Type:Organization
Organization Name:CHELSEA DRUGS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EARL
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:BLACK
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:315-865-8141
Mailing Address - Street 1:44 GENESEE ST
Mailing Address - Street 2:
Mailing Address - City:NEW HARTFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13413-2398
Mailing Address - Country:US
Mailing Address - Phone:315-732-1615
Mailing Address - Fax:315-732-3604
Practice Address - Street 1:44 GENESEE ST
Practice Address - Street 2:
Practice Address - City:NEW HARTFORD
Practice Address - State:NY
Practice Address - Zip Code:13413-2398
Practice Address - Country:US
Practice Address - Phone:315-732-1615
Practice Address - Fax:315-732-3604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-31
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy