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Organization
MIDDLETOWN LTC PHARMACY LLC
Active
Organization
MIDDLETOWN LTC PHARMACY LLC
Active
Other names
Hudson Regional LTC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MAYUR PATEL (MEMBER)
(845) 341-2700
Entity
Organization
Contact information
Practice address
280 ROUTE 211 E, SUITE 112, MIDDLETOWN, NY 10940-3109
(845) 341-2700
(845) 341-2715
Mailing address
280 ROUTE 211 E, SUITE 112, MIDDLETOWN, NY 10940-3109
(845) 341-2700
(845) 341-2715
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034715
STATE BOARD OF PHARMACY
NY
05
—
04585449
—
NY
Enumeration date
05/18/2016
Last updated
03/07/2023
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