Healthcare Provider Details

I. General information

NPI: 1912860743
Provider Name (Legal Business Name): ADIRONDACK APOTHECARY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1081 US ROUTE 9
SCHROON LAKE NY
12870-2426
US

IV. Provider business mailing address

1081 US ROUTE 9
SCHROON LAKE NY
12870-2426
US

V. Phone/Fax

Practice location:
  • Phone: 518-532-7575
  • Fax: 518-532-9722
Mailing address:
  • Phone: 518-532-7575
  • Fax: 518-532-9722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. REBECCA L DOYLE
Title or Position: VICE-PRESIDENT
Credential: PHARMD
Phone: 518-532-0005