# NYS OMRDD TACONIC DDSO

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NEIGHBORCARE PHARMACY SERVICES, INC.
- **Other names:** NeighborCare-Taconic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1336267962
- **Legal business name:** NEIGHBORCARE PHARMACY SERVICES, INC.
- **Authorized official:** REGIS ROBBINS (SECRETARY)
- **Authorized official phone:** (410) 347-9281

## Contact information

- **Practice address:** 26 CENTER CIR, WASSAIC, NY 12592-2637
- **Practice address phone:** (845) 877-3509
- **Practice address fax:** (845) 877-3503
- **Mailing address:** 100 E RIVERCENTER BLVD, SUITE 1600, COVINGTON, KY 41011-1555
- **Mailing address phone:** (410) 347-9281

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 006540 | NY | Yes |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 11/16/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00665834 | — | NY |
| 01 | — | 3350117 | NCPDP | NY |