Organization
BAXTERS HAVERSTRAW, INC.
Active
Other names
Baxter's Pharmacy & Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN VINETT RPH (SUPERVISOR)
(845) 429-1303
Entity
Organization
Contact information
Practice address
23 SAMSONDALE PLAZA, ROUTE 9W, WEST HAVERSTRAW, NY 10993
(845) 429-1303
Mailing address
23 SAMSONDALE PLAZA, ROUTE 9W, WEST HAVERSTRAW, NY 10993
(845) 429-1303
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
019426
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01013809
—
NY
01
—
3389156
NABP
—
Enumeration date
10/02/2006
Last updated
02/04/2008
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