Dedricks Pharmacy

LBN: New Paltz Pharmacy Inc
Dedricks Pharmacy is an health care organization with primary practice located at 190 Main St , New Paltz NY 12561. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. New Paltz Pharmacy Inc can be contacted via phone (845) 255-0310, or through Nekos, Jared Edward via phone (845) 255-0310.

Contact Information

Primary practice address
190 Main St New Paltz NY 12561
Phone: (845) 255-0310
Fax: (845) 255-0576
Website:
Map and Directions
Authorized official contact:
Name: Nekos, Jared Edward
Phone: (845) 255-0310

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 014711 New York

Profile Details

NPI number 1871590182
LBN Legal business name New Paltz Pharmacy Inc
DBA Doing business as Dedricks Pharmacy
Authorized official Nekos, Jared Edward
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2005
Last updated Feb 28th, 2023 - about 3 years ago

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 1871590182 NPPES
Other 2061616 PK
MEDICAID 00266775 PK

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