# ALITONS MANAGED CARE PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ALITONS MANAGED CARE PHARMACY INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730173774
- **Authorized official:** MARIANNE WALDRON (PRESIDENT)
- **Authorized official phone:** (845) 856-4120

## Contact information

- **Practice address:** 34 38 BALL ST, PORT JERVIS, NY 12771
- **Practice address phone:** (845) 856-4120
- **Practice address fax:** (845) 856-7496
- **Mailing address:** 34 38 BALL ST, PORT JERVIS, NY 12771
- **Mailing address phone:** (845) 856-4120
- **Mailing address fax:** (845) 856-7496

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 025525 | NY | Yes |
| 3336M0003X | Managed Care Organization Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 09/06/2005
- **Last updated:** 10/31/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02421341 | — | NY |
| 05 | — | 1012386230001 | — | PA |
| 01 | — | 2060240 | PK | — |