Organization
MAHOPAC PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAURENCE MIRESSI (PRESIDENT)
(845) 628-5600
Entity
Organization
Contact information
Practice address
936 S LAKE BLVD, MAHOPAC, NY 10541-3242
(845) 628-5600
(845) 628-0219
Mailing address
936 S LAKE BLVD, MAHOPAC, NY 10541-3242
(845) 628-5600
(845) 628-0219
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
019627
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01056082
—
NY
Enumeration date
11/02/2005
Last updated
02/08/2008
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