Organization
FRESH POND RX INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK STUART OBRIEN (PRESIDENT)
(929) 295-0033
Entity
Organization
Contact information
Practice address
7104 FRESH POND RD, RIDGEWOOD, NY 11385-5905
(929) 295-0033
(929) 295-0408
Mailing address
7104 FRESH POND RD, RIDGEWOOD, NY 11385-5905
(929) 295-0033
(929) 295-0408
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/21/2018
Last updated
03/04/2019
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