Organization
GREENE MEDICAL ARTS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RENEE SIECZKOWSKI (SUPERVISING PHARMACIST)
(518) 943-1715
Entity
Organization
Contact information
Practice address
159 JEFFERSON HTS, SUITE D102, CATSKILL, NY 12414-1237
(518) 943-1715
Mailing address
159 JEFFERSON HEIGHTS, SUITE D102, CATSKILL, NY 12414-1239
(518) 943-1715
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
022055
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01498342
—
NY
Enumeration date
08/23/2006
Last updated
03/06/2008
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