Organization
SCARSDALE SPENCER PHARMACY INC
Active
Other names
SCARSDALE-SPENCER Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FERREIRA RPH (OWNER)
(914) 723-2808
Entity
Organization
Contact information
Practice address
23 SPENCER PL, SCARSDALE, NY 10583-4110
(914) 723-2808
(914) 723-2781
Mailing address
23 SPENCER PL, SCARSDALE, NY 10583-4110
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
10681
NY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00531668
—
NY
01
—
3312547
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/04/2006
Last updated
12/08/2008
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