Organization
MATTHEWS PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA VILLEGAS (SUPERVISING PHARMACIST)
(845) 647-6222
Entity
Organization
Contact information
Practice address
101 CANAL ST, ELLENVILLE, NY 12428-1403
(845) 647-6222
(845) 647-1558
Mailing address
101 CANAL ST, ELLENVILLE, NY 12428-1403
(845) 647-6222
(845) 647-1558
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
033832
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01005009
—
NY
Enumeration date
09/20/2006
Last updated
02/08/2023
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