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NPI Code Detail

MEDICARE: PEARL RIVER CHEMISTS, INC.

MEDICARE: PEARL RIVER CHEMISTS, INC.
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
13336C0003XCommunity/Retail Pharmacy031474NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15805532OTHERNCPDP

General Provider Information

NPI Number : 1831454396
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEARL RIVER CHEMISTS, INC.
Provider Business Mailing Address
First Line : 139 N MIDDLETOWN RD
Second Line :
City : PEARL RIVER
State : NY
Zip : 10965-2029
Country : US
Telephone Number : 845-731-7777
Fax Number :
Provider Business Practice Location Address
First Line : 139 N MIDDLETOWN RD
Second Line :
City : PEARL RIVER
State : NY
Zip : 10965-2029
Country : US
Telephone Number : 845-731-7777
Fax Number :
Authorized Official
Title or Position : SECRETARY / SUPERVISING PHARMACIST
Name : MISS SARAH ANNE FRATTO
Credential :
Telephone Number : 84573617777
Provider Enumeration Date : 07/11/2012
Last Update Date : 01/29/2013

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1972593994 — STEVEN P. ADLER D.P.M.
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1093786642 — MARIA SPINAK, MD, PC
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1114141496 — AESTHETIC DENTISTRY OF ROCKLAND COUNTY
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1548354764 — THREE RIVERS DISTRICT HEALTH DEPARTMENT
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Directions to “PEARL RIVER CHEMISTS, INC. ” Practice Location

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