Organization
PORT EWEN PHARMACY INC
Active
Other names
PORT EWEN PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
DANA SCHECHTER (OWNER)
(845) 331-4229
Entity
Organization
Contact information
Practice address
177 BROADWAY, PORT EWEN, NY 12466-7719
(845) 331-4229
(845) 340-4593
Mailing address
PO BOX 759, PORT EWEN, NY 12466-0759
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
022436
NY
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00340625
—
NY
01
—
2063529
PK
—
Enumeration date
12/15/2006
Last updated
07/16/2014
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