Organization
MOLLOY'S MEDICAL ARTS PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS MARK DINGMAN R.PH. (PHARMACIST-OWNER)
(845) 471-7455
Entity
Organization
Contact information
Practice address
19 BAKER AVENUE, SUITE 207, POUGHKEEPSIE, NY 12601
(845) 471-7455
(845) 473-6337
Mailing address
19 BAKER AVENUE, SUITE 207, POUGHKEEPSIE, NY 12601
(845) 471-7455
(845) 473-6337
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
028301
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028301
STATE LICENSE
NY
05
—
02938618
—
NY
Enumeration date
07/03/2007
Last updated
01/29/2010
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