Organization
LAKE CARMEL PHARMACY INC
Active
Other names
JNR PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE A RESTREPO RPH (PRES)
(845) 225-4242
Entity
Organization
Contact information
Practice address
511 ROUTE 52, CARMEL, NY 10512-6064
(845) 225-4242
(845) 225-9349
Mailing address
511 ROUTE 52, CARMEL, NY 10512-6064
(845) 225-4242
(845) 225-9349
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
011970
NY
3336C0003X
Community/Retail Pharmacy
Primary
011970
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02570670
—
NY
Enumeration date
11/29/2006
Last updated
03/10/2010
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