Provider Demographics
NPI:1538124805
Name:ACE DRUG COMPANY INC.
Entity Type:Organization
Organization Name:ACE DRUG COMPANY INC.
Other - Org Name:ACE DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:WESTERMAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:845-561-4890
Mailing Address - Street 1:192 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-5415
Mailing Address - Country:US
Mailing Address - Phone:845-561-4890
Mailing Address - Fax:845-561-7978
Practice Address - Street 1:192 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-5415
Practice Address - Country:US
Practice Address - Phone:845-561-4890
Practice Address - Fax:845-561-7978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-19
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY018304OtherPHARMACY BOARD LICENSE NUMBER
NY00504123Medicaid
3341271OtherNABP
NY018304OtherPHARMACY BOARD LICENSE NUMBER