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Organization
TACONIC PHARMACY INC
Active
Organization
TACONIC PHARMACY INC
Active
Other names
TACONIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY CIARLETTA PHARMACIST (VICE PRESIDENT)
(914) 779-5133
Entity
Organization
Contact information
Practice address
3659 LEE RD, JEFFERSON VALLEY, NY 10535-1507
(914) 245-3334
(914) 245-4096
Mailing address
3659 LEE RD, JEFFERSON VALLEY, NY 10535-1507
(914) 245-3334
(914) 245-4096
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
030654
NY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2129648
PK
—
05
—
3351622
—
NY
Enumeration date
03/23/2011
Last updated
12/01/2025
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