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Organization

PINE BUSH PHARMACY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RIAZ WATTOO (OWNER)
(845) 744-4221
Entity
Organization

Contact information

Practice address
2412 RT 52 VALLEY SUPREME PLAZA, PINE BUSH, NY 12566
(845) 744-4221
(845) 744-2046
Mailing address
PO BOX 1347, PINE BUSH, NY 12566-1347

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
025835
NY
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02385422
NY
01
3331422
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
06/24/2006
Last updated
09/11/2025
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  • EDI platform