Organization
FISHKILL PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIMIN PATEL (MEMBER)
(706) 331-5959
Entity
Organization
Contact information
Practice address
1004 MAIN ST BLDG 554, FISHKILL, NY 12524-3509
(845) 897-0636
(845) 897-0638
Mailing address
1004 MAIN ST BLDG 554, FISHKILL, NY 12524-3509
(845) 897-0636
(845) 897-0638
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031825
—
NY
Enumeration date
12/18/2019
Last updated
12/18/2019
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