Healthcare Provider Details

I. General information

NPI: 1770558819
Provider Name (Legal Business Name): DRUG WORLD OF COLD SPRING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2006
Last Update Date: 01/12/2022
Certification Date: 01/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 CHESTNUT STREET
COLD SPRING NY
10516
US

IV. Provider business mailing address

55 CHESTNUT ST
COLD SPRING NY
10516-2604
US

V. Phone/Fax

Practice location:
  • Phone: 845-265-6352
  • Fax: 845-265-6076
Mailing address:
  • Phone: 845-639-4952
  • Fax: 845-499-2905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number025617
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number025617
License Number StateNY

VIII. Authorized Official

Name: HEIDI SNYDER
Title or Position: MANAGING MEMBER
Credential:
Phone: 845-639-4952