Organization
MIDRAG NINE PHARMACY INC
Active
Other names
VALUABLE DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAURENCE MIRESSI (PRESIDENT)
(914) 948-4141
Entity
Organization
Contact information
Practice address
417 TARRYTOWN ROAD, WHITE PLAINS, NY 10607
(914) 948-4141
(914) 948-7559
Mailing address
417 TARRYTOWN RD, WHITE PLAINS, NY 10607-1423
(914) 948-4141
(914) 948-7559
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
023767
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01927206
—
NY
Enumeration date
12/16/2005
Last updated
02/10/2017
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