Taconic Pharmacy Inc

LBN: Taconic Pharmacy Inc
Taconic Pharmacy Inc is an health care organization with primary practice located at 3659 Lee Rd , Jefferson Valley NY 10535-1507. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Taconic Pharmacy Inc can be contacted via phone (914) 245-3334, or through Ciarletta, Anthony John via phone (914) 245-3334.

Contact Information

Primary practice address
3659 Lee Rd Jefferson Valley NY 10535-1507
Phone: (914) 245-3334
Fax: (914) 245-4096
Website:
Map and Directions
Authorized official contact:
Name: Ciarletta, Anthony John R.PH.
Phone: (914) 245-3334

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1376387886
LBN Legal business name Taconic Pharmacy Inc
DBA Doing business as
Authorized official Ciarletta, Anthony John R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2024
Last updated Jun 20th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376387886 NPPES
New York Other 030654 NYS BOARD LICENSE NUMBER
New York MEDICAID 03351622 NYS BOARD LICENSE NUMBER

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