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Organization

MIDDLEBURGH PHARMACY INC

Active
Other names
Middleburgh Pharmacy And Medical Supplies, MIDDLEBURGH PHARMACY AND MEDICAL SUPPLIES
Organization subpart
No

Provider details

NPI number
Authorized official
PETER CAMPORESE (PRESIDENT)
(845) 380-0951
Entity
Organization

Contact information

Practice address
119 MARKET ST, MIDDLEBURGH, NY 12122-6432
(518) 827-7030
(518) 827-7032
Mailing address
45 ZERNER BLVD, HOPEWELL JUNCTION, NY 12533-5110
(845) 380-0951
(845) 380-0951

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
035912
NY
3336C0004X
Compounding Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05187128
NY
01
2172294
PK
Enumeration date
10/23/2017
Last updated
06/05/2025
About Stedi
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Product
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  • Eligibility checks
  • EDI platform