Organization
LAGRANGE PHARMACY INC
Active
Other names
LAGRANGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CAPRIOLI (PRESIDENT)
(845) 471-4330
Entity
Organization
Contact information
Practice address
702 FREEDOM PLAINS RD, POUGHKEEPSIE, NY 12603-6710
(845) 471-4330
(845) 471-5798
Mailing address
702 FREEDOM PLAINS RD, POUGHKEEPSIE, NY 12603-6710
(845) 471-4330
(845) 471-5798
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
015891
NY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01673798
—
NY
01
—
3364142
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/01/2006
Last updated
06/09/2010
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