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Organization
NYS OMRDD TACONIC DDSO
Active
Organization
NYS OMRDD TACONIC DDSO
Active
Parent organization
NEIGHBORCARE PHARMACY SERVICES, INC.
Other names
NeighborCare-Taconic
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEIGHBORCARE PHARMACY SERVICES, INC.
Authorized official
REGIS ROBBINS (SECRETARY)
(410) 347-9281
Entity
Organization
Contact information
Practice address
26 CENTER CIR, WASSAIC, NY 12592-2637
(845) 877-3509
(845) 877-3503
Mailing address
100 E RIVERCENTER BLVD, SUITE 1600, COVINGTON, KY 41011-1555
(410) 347-9281
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
006540
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00665834
—
NY
01
—
3350117
NCPDP
NY
Enumeration date
03/26/2007
Last updated
11/16/2007
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