Organization
HUDSON VALLEY LTC PHARMACY INC
Active
Other names
HUDSON VALLEY LTC PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CARDILLO (VP)
(845) 457-5040
Entity
Organization
Contact information
Practice address
105 WARD ST STE A, MONTGOMERY, NY 12549-1150
(845) 457-5040
(845) 457-5085
Mailing address
105 WARD ST STE A, MONTGOMERY, NY 12549-1150
(845) 457-5040
(845) 457-5085
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
028350
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02949948
—
NY
01
—
3357286
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/15/2008
Last updated
10/14/2010
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