Organization
RK PATEL CORPORATION
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
DENA FERMAN (THIRD PARTY PLAN COORDINATOR)
(314) 993-6000
Entity
Organization
Contact information
Practice address
200 ORISKANY BLVD, YORKVILLE, NY 13495-1330
(315) 768-3347
(315) 768-7721
Mailing address
200 ORISKANY BLVD, YORKVILLE, NY 13495-1330
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
020609
NY
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01189046
—
NY
01
—
3398016
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/20/2006
Last updated
03/07/2023
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