Organization
LEWISBORO PHARMACY INC
Active
Other names
CROSS RIVER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STUART FELDMAN RPH (VP PIC OWNER)
(914) 763-3152
Entity
Organization
Contact information
Practice address
20 N SALEM RD, CROSS RIVER, NY 10518-1104
(914) 763-3152
(914) 763-6567
Mailing address
PO BOX 696, CROSS RIVER, NY 10518-0696
(914) 763-3152
(914) 763-6567
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
014021
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01496006
—
NY
01
—
2068722
PK
—
Enumeration date
12/08/2006
Last updated
11/21/2016
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