Organization
DRUG MART TALLMAN INC.
Active
Other names
Drug Mart of Suffern
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IRA GLOTZER (PRESIDENT)
(845) 357-5200
Entity
Organization
Contact information
Practice address
214 ROUTE 59, SUFFERN, NY 10901-5205
(845) 357-5200
(845) 357-0399
Mailing address
214 ROUTE 59, SUFFERN, NY 10901-5205
(845) 357-5200
(845) 357-0399
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
11154
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00517377
—
NY
Enumeration date
08/05/2006
Last updated
03/04/2019
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