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Organization

PNY INC

Active
Other names
SPRING VALLEY DRUG
Organization subpart
No

Provider details

NPI number
Authorized official
DIPAK RAO BS (PRESIDENT)
(845) 352-0490
Entity
Organization

Contact information

Practice address
180 E CENTRAL AVE RT 59, SPRING VALLEY, NY 10977
(845) 352-0490
(845) 352-0524
Mailing address
180 E CENTRAL AVE, SPRING VALLEY, NY 10977
(845) 352-0490
(845) 352-0524

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
023761
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01878748
NY
01
3395882
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
07/30/2006
Last updated
02/24/2012
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