Organization
JEFFERSON VALLEY PHARMACY INC
Active
Other names
JEFFERSON VALLEY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL P BECKER RPH (PRESIDENT)
(914) 962-6553
Entity
Organization
Contact information
Practice address
3693 HILL BLVD, JEFFERSON VALLEY, NY 10535
(914) 962-6553
(914) 962-6228
Mailing address
3693 HILL BLVD, JEFFERSON VALLEY, NY 10535
(914) 962-6553
(914) 962-6228
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
025541
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02363784
—
NY
01
—
2064827
PK
—
Enumeration date
09/08/2005
Last updated
07/21/2022
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