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Organization
HUDSON VALLEY LTC PHARMACY INC
Active
Organization
HUDSON VALLEY LTC PHARMACY INC
Active
Other names
HUDSON VALLEY LTC PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CARDILLO (VP)
(845) 457-5040
Entity
Organization
Contact information
Practice address
105 WARD ST STE A, MONTGOMERY, NY 12549-1150
(845) 457-5040
(845) 457-5085
Mailing address
105 WARD ST STE A, MONTGOMERY, NY 12549-1150
(845) 457-5040
(845) 457-5085
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
028350
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02949948
—
NY
01
—
3357286
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/15/2008
Last updated
10/14/2010
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