Organization
COMMUNITY PHARMACY INC
Active
Other names
COMMUNITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GINA CORNACCHIO RPH (SUPERVISING PHARMACIST)
(845) 278-2700
Entity
Organization
Contact information
Practice address
100 INDEPENDENT WAY, STE G, BREWSTER, NY 10509-6301
(845) 278-2700
(845) 278-7339
Mailing address
100 INDEPENDENT WAY, STE G, BREWSTER, NY 10509-6301
(845) 278-2700
(845) 278-7339
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
019063
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00754590
—
NY
01
—
2064381
PK
—
Enumeration date
11/01/2006
Last updated
01/18/2017
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