# HUDSON VALLEY LTC PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HUDSON VALLEY LTC PHARMACY INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508042086
- **Authorized official:** JAMES CARDILLO (VP)
- **Authorized official phone:** (845) 457-5040

## Contact information

- **Practice address:** 105 WARD ST STE A, MONTGOMERY, NY 12549-1150
- **Practice address phone:** (845) 457-5040
- **Practice address fax:** (845) 457-5085
- **Mailing address:** 105 WARD ST STE A, MONTGOMERY, NY 12549-1150
- **Mailing address phone:** (845) 457-5040
- **Mailing address fax:** (845) 457-5085

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 028350 | NY | Yes |

## Other

- **Enumeration date:** 01/15/2008
- **Last updated:** 10/14/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02949948 | — | NY |
| 01 | — | 3357286 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |