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Organization
WILLIAM HALSTEAD PHARMACY INC
Active
Organization
WILLIAM HALSTEAD PHARMACY INC
Active
Other names
VADALA PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM HALSTEAD RPH (OWNER)
(845) 691-7671
Entity
Organization
Contact information
Practice address
62 VINEYARD AVE, HIGHLAND, NY 12528-1426
(845) 691-7671
(845) 691-7016
Mailing address
62 VINEYARD AVE, HIGHLAND, NY 12528-1426
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
019237
NY
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00532623
—
NY
01
—
3317509
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/20/2006
Last updated
02/03/2010
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