Organization
FISHKILL PHARMACY LLC
Active
Other names
The Medicine Shoppe Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAIMIN PATEL (MEMBER)
(845) 897-0636
Entity
Organization
Contact information
Practice address
1004 MAIN ST, BUILDING 554, FISHKILL, NY 12524-3509
(845) 897-0636
(845) 897-0638
Mailing address
1004 MAIN ST, BUILDING 554, FISHKILL, NY 12524-3509
(845) 897-0636
(845) 897-0638
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
031825
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2139430
PK
—
05
—
3580903
—
NY
Enumeration date
09/10/2012
Last updated
07/05/2016
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