Organization
PINE BUSH PHARMACY INC
Active
Other names
PINE BUSH PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
RIAZ WATTOO (OWNER)
(845) 744-4221
Entity
Organization
Contact information
Practice address
2412 STATE ROUTE 52 STE 5, PINE BUSH, NY 12566-7037
(845) 744-4221
(845) 744-2046
Mailing address
PO BOX 1347, PINE BUSH, NY 12566-1347
(845) 744-4221
(845) 744-2046
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
025835
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02385422
—
NY
01
—
2059454
PK
—
Enumeration date
12/23/2006
Last updated
01/21/2026
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