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Organization

ALITONS MANAGED CARE PHARMACY INC

Active
Other names
ALITONS MANAGED CARE PHARMACY INC
Organization subpart
No

Provider details

NPI number
Authorized official
MARIANNE WALDRON (PRESIDENT)
(845) 856-4120
Entity
Organization

Contact information

Practice address
34 38 BALL ST, PORT JERVIS, NY 12771
(845) 856-4120
(845) 856-7496
Mailing address
34 38 BALL ST, PORT JERVIS, NY 12771
(845) 856-4120
(845) 856-7496

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
025525
NY
3336M0003X
Managed Care Organization Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02421341
NY
05
1012386230001
PA
01
2060240
PK
Enumeration date
09/06/2005
Last updated
10/31/2017
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