# CVS/PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639492598
- **Authorized official:** DR. STEPHANIE RICCARDO PHARM.D (PHARMACY SUPERVISOR)
- **Authorized official phone:** (866) 222-9438

## Contact information

- **Practice address:** 2 WEST RD, PLEASANT VALLEY, NY 12569-7904
- **Practice address phone:** (845) 635-1350
- **Practice address fax:** (845) 635-9366
- **Mailing address:** 2 WEST RD, PLEASANT VALLEY, NY 12569-7904
- **Mailing address phone:** (845) 635-1350
- **Mailing address fax:** (845) 635-9366

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 040238 | NY | Yes |

## Other

- **Enumeration date:** 03/08/2010
- **Last updated:** 03/08/2010