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Organization

CORWITH PHARMACY INC

Active
Other names
CORWITH PHARMACY INC
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN KLUGE (PHARMACIST)
(631) 283-0001
Entity
Organization

Contact information

Practice address
56 HAMPTON RD, SOUTHAMPTON, NY 11968-4930
(631) 283-0001
Mailing address
56 HAMPTON RD, SOUTHAMPTON, NY 11968-4930

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
011840
NY
3336C0004X
Compounding Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3345508
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
06/11/2006
Last updated
11/19/2008
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