Organization
NEW PALTZ PHARMACY INC
Active
Other names
DEDRICKS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JARED EDWARD NEKOS (PRESIDENT)
(845) 255-0310
Entity
Organization
Contact information
Practice address
190 MAIN ST, NEW PALTZ, NY 12561
(845) 255-0310
(845) 255-0576
Mailing address
190 MAIN ST, NEW PALTZ, NY 12561-1211
(845) 255-0310
(845) 255-0576
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
014711
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00266775
—
NY
01
—
2061616
PK
—
Enumeration date
06/30/2005
Last updated
02/28/2023
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