Organization
JACOBS PILLS
Active
Other names
HEALTHY CHOICE APOTHECARY
Organization subpart
No
Provider details
NPI number
Authorized official
PHIL ALTMAN (MANAGER)
(914) 238-1700
Entity
Organization
Contact information
Practice address
6 S GREELEY AVE, CHAPPAQUA, NY 10514-3311
(914) 238-1700
(914) 238-1834
Mailing address
6 S GREELEY AVE, CHAPPAQUA, NY 10514-3311
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
026105
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02513308
—
NY
01
—
3314870
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
01/08/2007
Last updated
09/12/2007
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