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Eden Park Pharmacy Supply Co., Inc.

NPI 1811060932ActiveOrganization· Pharmacy· Albany, NY

Pharmacy in Albany, New York, registered in NPPES in November 2006. The authorized official on file is Robert Glock, President.

Overview

NPI1811060932
StatusActive
Entity typeOrganization
NPI issuedNov 16, 2006
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy Primary333600000X022310NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Pharmacy providers in Albany

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