Organization
MIDDLETOWN APOTHECARY INC
Active
Other names
MIDDLETOWN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GARY STOPA RPH (AO)
(845) 342-5566
Entity
Organization
Contact information
Practice address
149 WICKHAM AVE, MIDDLETOWN, NY 10940-3721
(845) 342-5566
(845) 342-4986
Mailing address
149 WICKHAM AVE, MIDDLETOWN, NY 10940-3721
(845) 342-5566
(845) 342-4986
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
020046
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01110925
—
NY
01
—
2065584
PK
—
Enumeration date
08/31/2006
Last updated
12/09/2016
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