MEDICARE: DRUG WORLD OF COLD SPRING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	025617	NY
2	333600000X	Pharmacy	025617	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770558819
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRUG WORLD OF COLD SPRING, LLC

Provider Business Mailing Address
First Line	:	55 CHESTNUT ST
Second Line	:
City	:	COLD SPRING
State	:	NY
Zip	:	10516-2604
Country	:	US
Telephone Number	:	845-639-4952
Fax Number	:	845-499-2905

Provider Business Practice Location Address
First Line	:	55 CHESTNUT STREET
Second Line	:
City	:	COLD SPRING
State	:	NY
Zip	:	10516
Country	:	US
Telephone Number	:	845-265-6352
Fax Number	:	845-265-6076

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	HEIDI SNYDER
Credential	:
Telephone Number	:	845-639-4952

Provider Enumeration Date	:	02/22/2006
Last Update Date	:	01/12/2022

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