Organization
CLARKSTOWN PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHYLLIS PINCUS (PRESIDENT)
(845) 358-3588
Entity
Organization
Contact information
Practice address
719 WEST NYACK RD, WEST NYACK, NY 10994
(845) 358-3588
(845) 358-3514
Mailing address
719 WEST NYACK RD, WEST NYACK, NY 10994
(845) 358-3588
(845) 358-3514
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01695138
—
NY
Enumeration date
01/25/2006
Last updated
04/09/2015
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