Organization
CATHMIN CORP
Active
Other names
Blooming Grove Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN TEICH RPH (PRESIDENT)
(845) 782-2260
Entity
Organization
Contact information
Practice address
1200 STATE ROUTE 208, SUITE #1, MONROE, NY 10950-4648
(845) 782-2260
Mailing address
1200 STATE ROUTE 208, SUITE #1, MONROE, NY 10950-4648
(845) 782-2260
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
020555
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01172141
—
NY
01
—
33-95868
NCDPD
NY
Enumeration date
02/16/2007
Last updated
01/07/2015
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