Organization
DEDRICK'S PHARMACY INC.
Active
Other names
NEKOS-DEDRICK'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE S NEKOS R.PH. (OWNER)
(845) 338-8000
Entity
Organization
Contact information
Practice address
86 N FRONT ST, KINGSTON, NY 12401-3832
(845) 338-8000
(845) 338-5128
Mailing address
86 N FRONT ST, KINGSTON, NY 12401-3832
(845) 338-8000
(845) 338-5128
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
011044
NY
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00334001
—
NY
01
—
3334428
NCPDP
—
Enumeration date
06/30/2005
Last updated
04/10/2019
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