Organization
GRAMATAN PHARMACY CORP
Active
Other names
CIRCLE RX
Organization subpart
No
Provider details
NPI number
Authorized official
MARK RAUCHWERGER (OWNER/PHARMACIST)
(914) 665-5555
Entity
Organization
Contact information
Practice address
120 GRAMATAN AVE, MOUNT VERNON, NY 10550-1206
(914) 665-5555
(914) 665-5562
Mailing address
120 GRAMATAN AVE, MOUNT VERNON, NY 10550-1206
(914) 665-5555
(914) 665-5562
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
023264
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01713262
—
NY
01
—
2066769
PK
—
Enumeration date
09/12/2006
Last updated
01/07/2016
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