Organization
MARGARETVILLE MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL MOORE (PHARMACY DIRECTOR)
(845) 586-2631
Entity
Organization
Contact information
Practice address
42084 STATE HWY RT 28, MARGARETVILLE, NY 12455
(845) 586-2631
(845) 586-2539
Mailing address
42084 STATE HWY RT 28, MARGARETVILLE, NY 12455
(845) 586-2631
(845) 586-2539
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
016327
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00279387
—
NY
01
—
2060477
PK
—
05
—
330092
—
NY
Enumeration date
12/08/2006
Last updated
05/04/2018
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