Organization
CVS/PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE RICCARDO PHARM.D (PHARMACY SUPERVISOR)
(866) 222-9438
Entity
Organization
Contact information
Practice address
2 WEST RD, PLEASANT VALLEY, NY 12569-7904
(845) 635-1350
(845) 635-9366
Mailing address
2 WEST RD, PLEASANT VALLEY, NY 12569-7904
(845) 635-1350
(845) 635-9366
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
040238
NY
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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