Provider Demographics
NPI:1003685629
Name:THE KATONAH WAY PHARMACY LLC
Entity Type:Organization
Organization Name:THE KATONAH WAY PHARMACY LLC
Other - Org Name:THE KATONAH WAY PHARMACY LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:RYDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-393-9942
Mailing Address - Street 1:294 KATONAH AVE
Mailing Address - Street 2:
Mailing Address - City:KATONAH
Mailing Address - State:NY
Mailing Address - Zip Code:10536-2148
Mailing Address - Country:US
Mailing Address - Phone:914-895-6505
Mailing Address - Fax:914-401-9667
Practice Address - Street 1:294 KATONAH AVE
Practice Address - Street 2:
Practice Address - City:KATONAH
Practice Address - State:NY
Practice Address - Zip Code:10536-2148
Practice Address - Country:US
Practice Address - Phone:914-895-6505
Practice Address - Fax:914-401-9667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-22
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No333600000XSuppliersPharmacy