Organization
PETERS PHARMACY OF NARROWSBURG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COLIN ANTHONY PETERS SR. R.PH. (OWNER)
(845) 252-3003
Entity
Organization
Contact information
Practice address
110 KIRKS RD, NARROWSBURG, NY 12764-6430
(845) 252-3003
(845) 252-3616
Mailing address
110 KIRKS RD, PO BOX 167, NARROWSBURG, NY 12764-6430
(845) 252-3003
(845) 252-3616
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
011923
NY
3336C0003X
Community/Retail Pharmacy
Primary
011923
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015104750001
—
PA
05
—
01344590
—
NY
Enumeration date
03/01/2007
Last updated
07/26/2007
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