Organization
SMITH STREET RX INC
Active
Other names
SMITH STREET PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAVI KUMAR CHENNA (PRESIDENT)
(845) 471-6440
Entity
Organization
Contact information
Practice address
269 MANSION ST # 3, POUGHKEEPSIE, NY 12601-2623
(845) 471-6440
(845) 471-7258
Mailing address
269 MANSION ST # 3, POUGHKEEPSIE, NY 12601-2623
(845) 471-6440
(845) 471-7258
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NY
3336L0003X
Long Term Care Pharmacy
—
NY
Other
Enumeration date
04/25/2015
Last updated
04/25/2015
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