Port Jervis Pharmacy Llc in Port Jervis - Pharmacy

Port Jervis Pharmacy Llc - NPI 1053426098

Port Jervis Pharmacy Llc is a Pharmacy in Port Jervis, New York. Port Jervis Pharmacy Llc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Port Jervis Pharmacy Llc is 1053426098. The last update date is 2023-03-07.

Port Jervis Pharmacy Llc's current location address is 15 Jersey Ave, Port Jervis, New York. You can contact this provider via phone number 8458566681 and fax number 8458566532. The mailing address for Port Jervis Pharmacy Llc is 15 Jersey Ave, Port Jervis, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Port Jervis Pharmacy Llc
Address 15 Jersey Ave, Port Jervis, New York
Phone Number 8458566681
Fax Number 8458566532
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Modi Chirag
Credentials R.PH.
Telephone Number 7343772584

NPI Number Detail

NPI Number 1053426098
Provider Enumeration Date 2006-08-20
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 15 Jersey Ave
City Port Jervis
State New York (NY)
Post Code 127712436
Phone Number 8458566681
Fax Number 8458566532

Provider's Primary Taxonomy Detail

Speciality Pharmacy
Taxonomy 333600000X
Licence No 24124
Definition:
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3374496 OTHER ID NUMBER-COMMERCIAL NUM
1879923 NY --

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FAQs about Port Jervis Pharmacy Llc

What is the unique identifier code issued to Port Jervis Pharmacy Llc by the Centers for Medicare & Medicaid Services (CMS)?

The Port Jervis Pharmacy Llc has been assigned the NPI (National Provider Identifier) 1053426098. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Port Jervis Pharmacy Llc is physically located?

The Port Jervis Pharmacy Llc is physically situated at the following address: 15 Jersey Ave, Port Jervis, NY, 127712436.

What is the Port Jervis Pharmacy Llc's area of specialization and corresponding taxonomy classification?

The Port Jervis Pharmacy Llc's specialty field is Pharmacy, and it falls under the taxonomy code 333600000X, which categorizes healthcare providers based on their specialties.

When was the Port Jervis Pharmacy Llc's 1053426098 issued?

The Port Jervis Pharmacy Llc's 1053426098 was issued on 2006-08-20.

When was the information pertaining to Port Jervis Pharmacy Llc most recently updated or revised?

The details related to Port Jervis Pharmacy Llc, including its address, specialty, and other relevant information, were last updated or revised on 2023-03-07.

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