Organization
FAMILY DRUG STORE
Active
Other names
THE FAMILY DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN COHEN RPH (OWNER)
(845) 794-2345
Entity
Organization
Contact information
Practice address
524 BROADWAY, MONTICELLO, NY 12701-1154
(845) 794-2345
(845) 794-0170
Mailing address
524 BROADWAY, MONTICELLO, NY 12701-1154
(845) 794-2345
(914) 794-0170
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
019340
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01006904
—
NY
01
—
2064507
PK
—
Enumeration date
07/30/2006
Last updated
01/17/2017
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