Organization
MIDDLETOWN LTC PHARMACY LLC
Active
Other names
Hudson Regional LTC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MAYUR PATEL (MEMBER)
(845) 341-2700
Entity
Organization
Contact information
Practice address
280 ROUTE 211 E, SUITE 112, MIDDLETOWN, NY 10940-3109
(845) 341-2700
(845) 341-2715
Mailing address
280 ROUTE 211 E, SUITE 112, MIDDLETOWN, NY 10940-3109
(845) 341-2700
(845) 341-2715
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034715
STATE BOARD OF PHARMACY
NY
05
—
04585449
—
NY
Enumeration date
05/18/2016
Last updated
03/07/2023
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