Organization
REVRAC INDUSTRIES INC
Active
Other names
STONY POINT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CARVER RPH (RPH)
(845) 942-1373
Entity
Organization
Contact information
Practice address
69 S LIBERTY DR, STONY POINT, NY 10980-2321
(845) 942-1373
(845) 942-0401
Mailing address
69 S LIBERTY DR, STONY POINT, NY 10980-2321
(845) 942-1373
(845) 942-0401
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
018923
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2061874
PK
—
Enumeration date
09/12/2006
Last updated
10/13/2014
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