Organization
CVS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA ROTH (PHARMACIST)
(845) 635-1350
Entity
Organization
Contact information
Practice address
2 WEST RD, PLEASANT VALLEY, NY 12569-7904
(845) 635-1350
(845) 635-9366
Mailing address
PO BOX 514, PLEASANT VALLEY, NY 12569-0514
(845) 635-1350
(845) 635-9366
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
035776
NY
Other
Enumeration date
02/25/2010
Last updated
02/25/2010
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