Organization
RUSSELL AND LAWRIE APOTHECARY INC
Active
Other names
TARRYTOWN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
YOUSEF JAWAD RPH (PHARMACIST)
(914) 631-0079
Entity
Organization
Contact information
Practice address
59 N BROADWAY, TARRYTOWN, NY 10591-3208
(914) 631-0079
(914) 909-6385
Mailing address
59 N BROADWAY, TARRYTOWN, NY 10591-3208
(914) 631-0079
(914) 909-6385
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
027963
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3352212
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/16/2007
Last updated
01/15/2010
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