Organization · NPI-2
Alitons Managed Care Pharmacy INC
Pharmacy, Long Term Care Pharmacy · Port Jervis, NY
NPI number1730173774
StatusActive
Last updated in NPPESOct 31, 2017
Details
- NPI
- 1730173774
- Entity type
- Organization (NPI-2)
- Legal business name
- Alitons Managed Care Pharmacy INC
- Organization subpart
- No
- Enumeration date
- Sep 6, 2005
- Last updated
- Oct 31, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | 025525 | NY | Yes |
| 3336M0003X | Pharmacy, Managed Care Organization Pharmacy | – | – |
Other names
- Alitons Managed Care Pharmacy INC (Doing Business As)
Practice location
34 38 Ball StPort Jervis, NY 12771
Phone 845-856-4120 · Fax 845-856-7496
Mailing address
34 38 Ball StPort Jervis, NY 12771
Phone 845-856-4120 · Fax 845-856-7496
Authorized official
Marianne Waldron
President
8458564120
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.