Port Jervis Pharmacy LLC
NPI #1053426098 in Port Jervis, New York
Provider Information
- NPI Number
- 1053426098
- Entity Type
- Organization
- Organization Name
- Port Jervis Pharmacy LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Aug 20, 2006
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 15 JERSEY AVE
- City
- Port Jervis
- State
- New York
- ZIP Code
- 12771-2436
- Phone
- (845) 856-6681
Authorized Official
- Name
- CHIRAG MODI, R.PH.
- Title
- OWNER
- Phone
- (734) 377-2584
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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