# THRUWAY PHARMACY, INC.

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

## Provider details

- **NPI number:** 1699748350
- **Authorized official:** LES CONCORS (OWNER)
- **Authorized official phone:** (845) 778-3535

## Contact information

- **Practice address:** 78 OAK ST, WALDEN, NY 12586-1054
- **Practice address phone:** (845) 778-1388
- **Mailing address:** 78 OAK ST, WALDEN, NY 12586-1054
- **Mailing address phone:** (845) 778-1388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 012219 | NY | Yes |

## Other

- **Enumeration date:** 02/10/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00498673 | — | NY |