Pine Bush Pharmacy Inc

NPI 1083779730 - Pharmacy - 3336C0003X

NPI Details
NPI 1083779730
Enumeration Date 12/23/2006
Last Updated 06/07/2016
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RIAZ RIAZ
Position OWNER
Phone (845) 744-4221
Fax (845) 744-2046
Practice Location
2412 RT 52 VALLEY SUPREME PLAZA
PINE BUSH NY, 12566, US
Phone (845) 744-4221
Fax (845) 744-2046
Business Location
PO BOX 1347
PINE BUSH NY, 12566-1347, US
Phone (845) 744-4221
Fax (845) 744-2046
Toxanomy
Taxonomy Code 3336C0003X
License State New York
License Number 025835
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According to our database, Pine Bush Pharmacy Inc NPI is 1083779730, taxonomy code is 3336C0003X and license number is 025835, license state is located at New York. Pine Bush Pharmacy Inc physically located at 2412 Rt 52 Valley Supreme Plaza, Pine Bush NY, 12566. NPI Number 1033115704 has the healthcare provider type.

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1083779730 NPI number is provided on an as is basis without warranty of any kind. 1083779730 is maintained by the National Plan & Provider Enumeration System. The contents of Pine Bush Pharmacy Inc are for informational purposes only.