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Organization
MIKE-PAUL CORP
Active
Organization
MIKE-PAUL CORP
Active
Other names
Plaza Long Term Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN P. FRATTO RPH (EXECUTIVE DIRECTOR)
(845) 297-3731
Entity
Organization
Contact information
Practice address
2673 W MAIN ST, WAPPINGERS FALLS, NY 12590-1941
(845) 297-3731
(845) 297-4126
Mailing address
2673 W MAIN ST, WAPPINGERS FALLS, NY 12590-1941
(845) 297-3731
(845) 297-4126
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
022574
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01577935
—
NY
01
—
3307243
NABP
NY
Enumeration date
06/17/2006
Last updated
08/22/2020
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