Healthcare Provider Details

I. General information

NPI: 1740184928
Provider Name (Legal Business Name): MEDWIZ SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

167 ROUTE 304
BARDONIA NY
10954-2050
US

IV. Provider business mailing address

167 ROUTE 304
BARDONIA NY
10954-2050
US

V. Phone/Fax

Practice location:
  • Phone: 845-624-8080
  • Fax: 845-624-8055
Mailing address:
  • Phone: 845-624-8080
  • Fax: 845-624-8055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: ERIC NEWHOUSE
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 845-624-8080