Organization
PELELLA APOTHECARY INC
Active
Other names
HAZARDS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JARED E NEKOS PHARMD (PRESIDENT)
(845) 534-4345
Entity
Organization
Contact information
Practice address
290 MAIN ST, CORNWALL, NY 12518-1579
(845) 534-4345
(914) 534-4048
Mailing address
290 MAIN ST, CORNWALL, NY 12518-1579
(845) 534-4345
(914) 534-4048
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
019348
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01042144
—
NY
01
—
2064534
PK
—
Enumeration date
09/21/2006
Last updated
02/28/2023
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