Organization
MONTGOMERY VILLAGE PHARMACY INC
Active
Other names
MONTGOMERY VILLAGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CARDILLO (OWNER,AO)
(914) 747-5004
Entity
Organization
Contact information
Practice address
105 WARD ST STE B, MONTGOMERY, NY 12549-1150
(845) 457-4020
(845) 457-4030
Mailing address
555 PLEASANTVILLE RD, NORTH BUILDING, BRIARCLIFF, NY 10510-1955
(914) 747-5002
(914) 747-5003
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
027907
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2068335
PK
—
05
—
2800140
—
NY
Enumeration date
08/31/2006
Last updated
02/15/2017
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