# BEACON WELLNESS PHARMACY INC

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

## Provider details

- **NPI number:** 1841833183
- **Authorized official:** MR. ENRIQUE REYNOSO RPH (OWNER)
- **Authorized official phone:** (845) 765-8878

## Contact information

- **Practice address:** 333 MAIN ST, BEACON, NY 12508-3018
- **Practice address phone:** (845) 765-8878
- **Practice address fax:** (845) 765-8884
- **Mailing address:** 333 MAIN ST, BEACON, NY 12508-3018
- **Mailing address phone:** (845) 765-8878
- **Mailing address fax:** (845) 765-8884

## Taxonomy

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

## Other

- **Enumeration date:** 10/18/2019
- **Last updated:** 10/18/2019