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Organization
WASHINGTONVILLE PHARMACY INC
Active
Organization
WASHINGTONVILLE PHARMACY INC
Active
Parent organization
WASHINGTONVILLE PHARMACY INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WASHINGTONVILLE PHARMACY INC
Authorized official
MARK PATRICK FREITAS (PRESIDENT)
(845) 496-8001
Entity
Organization
Contact information
Practice address
32 W MAIN ST UNIT 2, WASHINGTONVILLE, NY 10992-1411
(845) 496-8001
(845) 496-8005
Mailing address
32 W MAIN ST UNIT 2, WASHINGTONVILLE, NY 10992-1411
(845) 496-8001
(845) 496-8005
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0002X
Clinic Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02891303
—
NY
Enumeration date
10/13/2022
Last updated
10/13/2022
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