# DEDRICK'S PHARMACY INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NEKOS-DEDRICK'S PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225035538
- **Authorized official:** MR. GEORGE S NEKOS R.PH. (OWNER)
- **Authorized official phone:** (845) 338-8000

## Contact information

- **Practice address:** 86 N FRONT ST, KINGSTON, NY 12401-3832
- **Practice address phone:** (845) 338-8000
- **Practice address fax:** (845) 338-5128
- **Mailing address:** 86 N FRONT ST, KINGSTON, NY 12401-3832
- **Mailing address phone:** (845) 338-8000
- **Mailing address fax:** (845) 338-5128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 011044 | NY | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 06/30/2005
- **Last updated:** 04/10/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00334001 | — | NY |
| 01 | — | 3334428 | NCPDP | — |