Organization
PUTNAM VALLEY PHARMACY INC
Active
Other names
PUTNAM VALLEY PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL BECKER RPH (PRESIDENT)
(914) 962-6553
Entity
Organization
Contact information
Practice address
11 PEEKSKILL HOLLOW RD, PUTNAM VALLEY, NY 10579-3200
(845) 528-6400
(845) 528-0400
Mailing address
PO BOX 416, PUTNAM VALLEY, NY 10579-0416
(845) 528-6400
(845) 528-0400
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
026694
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02590307
—
NY
01
—
2062758
PK
—
Enumeration date
09/08/2005
Last updated
02/20/2017
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