Provider Demographics
NPI:1568007904
Name:DIABETIC & PRESCRIPTION CENTER INC
Entity Type:Organization
Organization Name:DIABETIC & PRESCRIPTION CENTER INC
Other - Org Name:PRESCRIPTION CENTER LTC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:LANGSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-368-9700
Mailing Address - Street 1:PO BOX 64
Mailing Address - Street 2:
Mailing Address - City:TALLMAN
Mailing Address - State:NY
Mailing Address - Zip Code:10982-0064
Mailing Address - Country:US
Mailing Address - Phone:845-368-9700
Mailing Address - Fax:845-368-4056
Practice Address - Street 1:296 ROUTE 59
Practice Address - Street 2:
Practice Address - City:TALLMAN
Practice Address - State:NY
Practice Address - Zip Code:10982-8102
Practice Address - Country:US
Practice Address - Phone:845-368-9700
Practice Address - Fax:845-368-4056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-08
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy