Organization
CLARKSTOWN PHARMACY II LLC
Active
Other names
Clarkstown Pharmacy II, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS PINCUS (PRESIDENT)
(845) 634-6100
Entity
Organization
Contact information
Practice address
174 S MAIN ST, NEW CITY, NY 10956-3380
(845) 634-6100
(845) 634-6101
Mailing address
174 S MAIN ST, NEW CITY, NY 10956-3380
(845) 634-6100
(845) 634-6101
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
031348
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2135284
PK
—
05
—
6712390001
—
NY
Enumeration date
05/20/2012
Last updated
03/22/2017
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