Organization
NEEL-PATH LLC
Active
Other names
APALACHIN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAYSUKH LALKIYA RPH (PARTNER)
(607) 625-2129
Entity
Organization
Contact information
Practice address
6845 STATE ROUTE 434, APALACHIN, NY 13732-3503
(607) 625-2129
(607) 625-2428
Mailing address
PO BOX 376, APALACHIN, NY 13732-0376
(607) 625-2129
(607) 625-2428
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
023577
NY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014667700005
—
PA
05
—
01855921
—
NY
01
—
3344645
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/07/2006
Last updated
10/03/2012
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