# CLARKSTOWN PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144290842
- **Authorized official:** MRS. PHYLLIS PINCUS (PRESIDENT)
- **Authorized official phone:** (845) 358-3588

## Contact information

- **Practice address:** 719 WEST NYACK RD, WEST NYACK, NY 10994
- **Practice address phone:** (845) 358-3588
- **Practice address fax:** (845) 358-3514
- **Mailing address:** 719 WEST NYACK RD, WEST NYACK, NY 10994
- **Mailing address phone:** (845) 358-3588
- **Mailing address fax:** (845) 358-3514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/25/2006
- **Last updated:** 04/09/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01695138 | — | NY |