# MIDDLETOWN LTC PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hudson Regional LTC Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063869238
- **Authorized official:** MAYUR PATEL (MEMBER)
- **Authorized official phone:** (845) 341-2700

## Contact information

- **Practice address:** 280 ROUTE 211 E, SUITE 112, MIDDLETOWN, NY 10940-3109
- **Practice address phone:** (845) 341-2700
- **Practice address fax:** (845) 341-2715
- **Mailing address:** 280 ROUTE 211 E, SUITE 112, MIDDLETOWN, NY 10940-3109
- **Mailing address phone:** (845) 341-2700
- **Mailing address fax:** (845) 341-2715

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/18/2016
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 034715 | STATE BOARD OF PHARMACY | NY |
| 05 | — | 04585449 | — | NY |