Provider Information for 1124480967
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LARCHMONT PHARMACY LLC
Other Names:Doing Business As:LARCHMONT PHARMACYOrganization Subpart: NO
NPI: 1124480967
Last Updated: 2016-03-22
Certification Date:
Certification Date:
Details
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NPI | 1124480967 | ||||||||
Enumeration Date | 2016-03-22 | ||||||||
NPI Type | NPI-2 Organization | ||||||||
Status | Active | ||||||||
Authorized Official Information | Name: Mr. ANTHONY JOHN CIARLETTA R.Ph. Title: Member Phone: 9143411900 | ||||||||
Mailing Address | 2141 PALMER AVE LARCHMONT, NY 10538-2406 United States Phone: 914-341-1900 | Fax:914-341-1901 | ||||||||
Primary Practice Address | 2141 PALMER AVE LARCHMONT, NY 10538-2406 United States Phone: 914-341-1900 | Fax:914-341-1901 | ||||||||
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