Organization
CORNERSTONE DRUG & GIFT INC
Active
Other names
CORNERSTONE DRUG AND GIFT INC
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL BOSLEY (PHRM)
(518) 297-3784
Entity
Organization
Contact information
Practice address
72 CHAMPLAIN ST, ROUSES POINT, NY 12979-1505
(518) 297-3784
(518) 297-3714
Mailing address
72 CHAMPLAIN ST, ROUSES POINT, NY 12979-1505
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
027129
NY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02460251
—
NY
01
—
3343299
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/02/2006
Last updated
08/14/2009
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