WILLIAM HALSTEAD PHARMACY INC
Suppliers at Vineyard Ave, Highland, NY

License number
New York 019237
Category
Suppliers
Type
Community/Retail Pharmacy
Owner
Name: WILLIAM HALSTEAD RPH
Title: OWNER
Phone: (845) 691-7671
Address
Address
62 Vineyard Ave, Highland, NY 12528
National Provider ID: 1528140316
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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WILLIAM HALSTEAD PHARMACY INC

Highland, NY

Status:
Inactive
Industry:
Retail Drug Store
Doing business as:
Vadalas Pharmacy<br>Vadala's Pharmacy
Inactive reason:
Dissolution
Registration:
May 5, 1986
Inactive since:
Aug 13, 2013
Phone:
(845) 691-7671 (Phone)
Addresses:
27 Cuomo Dr, Highland, NY 12528 (Physical)
62 Vineyard Ave, Highland, NY 12528
State ID:
1079359
Business type:
DOMESTIC BUSINESS CORPORATION
President:
William Halstead (President), 27 Cuomo Dr, Highland, NY 12528 (Physical)

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