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Organization
ALITONS MANAGED CARE PHARMACY INC
Active
Organization
ALITONS MANAGED CARE PHARMACY INC
Active
Other names
ALITONS MANAGED CARE PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANNE WALDRON (PRESIDENT)
(845) 856-4120
Entity
Organization
Contact information
Practice address
34 38 BALL ST, PORT JERVIS, NY 12771
(845) 856-4120
(845) 856-7496
Mailing address
34 38 BALL ST, PORT JERVIS, NY 12771
(845) 856-4120
(845) 856-7496
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
025525
NY
3336M0003X
Managed Care Organization Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02421341
—
NY
05
—
1012386230001
—
PA
01
—
2060240
PK
—
Enumeration date
09/06/2005
Last updated
10/31/2017
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