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Provider Information for 1922461540


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

KATONAH PHARMACY INC

Other Names:  
Doing Business As: 
KATONAH PHARMACY

Organization Subpart: NO

NPI: 1922461540
Last Updated: 2016-08-04
Certification Date:

Details

NameValue
NPI1922461540
Enumeration Date2016-03-31
NPI TypeNPI-2 Organization
StatusActive
Authorized Official Information Name: CHRIS RYDER
Title: VP, Manager,AO
Phone: 9142322300
Mailing Address 202 KATONAH AVE
KATONAH, NY 10536-2110
United States

Phone: 914-232-2300 | Fax:914-232-1130
 
Primary Practice Address 202 KATONAH AVE
KATONAH, NY 10536-2110
United States

Phone: 914-232-2300 | Fax:914-232-1130
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)2160958PK
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 3336C0004X - Pharmacy - Compounding Pharmacy
No 333600000X - Pharmacy
Yes 3336C0003X - Pharmacy - Community/Retail PharmacyNY034634