Healthcare Provider Details

I. General information

NPI: 1033388202
Provider Name (Legal Business Name): CATSKILL CARE ENTERPRISES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2008
Last Update Date: 03/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 FOXCARE DR STE 215
ONEONTA NY
13820-2099
US

IV. Provider business mailing address

1 FOXCARE DR STE 215
ONEONTA NY
13820-2099
US

V. Phone/Fax

Practice location:
  • Phone: 607-431-5959
  • Fax: 607-431-5285
Mailing address:
  • Phone: 607-431-5959
  • Fax: 607-431-5285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number024456
License Number StateNY

VIII. Authorized Official

Name: MARGARET KARL
Title or Position: SUPERVISING PHARMACIST
Credential: RPH
Phone: 607-431-5282