Organization
WATERVLIET PHARMACY ACQUISITION, LLC
Active
Other names
ConnectRx Hometown
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA MARIE HOTALING R.PH. (DIRECTOR)
(518) 273-1402
Entity
Organization
Contact information
Practice address
601 19TH STREET, WATERVLIET, NY 12189-2002
(518) 273-1402
(518) 687-0672
Mailing address
601 19TH ST, WATERVLIET, NY 12189-2002
(518) 273-1402
(518) 687-0672
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
—
—
Other
Enumeration date
09/18/2020
Last updated
10/25/2022
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