Organization
PRESTIGE PHARMACY INC
Active
Other names
PRESTIGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AJAY PATEL (OWNER)
(845) 344-4433
Entity
Organization
Contact information
Practice address
36 42 JAMES ST, MIDDLETOWN, NY 10940
(845) 344-4433
(845) 344-4439
Mailing address
78 LAUREL HILL DR, WESTTOWN, NY 10998-3922
(845) 344-4433
(843) 344-4439
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
028863
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2070575
PK
—
05
—
2978509
—
NY
Enumeration date
05/06/2008
Last updated
04/06/2017
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