Provider Demographics
NPI:1689794646
Name:SCHECHTER, THEODORE FRANKLIN (BSPHARMACY)
Entity Type:Individual
Prefix:
First Name:THEODORE
Middle Name:FRANKLIN
Last Name:SCHECHTER
Suffix:
Gender:M
Credentials:BSPHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 JUMANO CT
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-4137
Mailing Address - Country:US
Mailing Address - Phone:845-368-1564
Mailing Address - Fax:
Practice Address - Street 1:500 JUMANO CT
Practice Address - Street 2:
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-4137
Practice Address - Country:US
Practice Address - Phone:845-368-1564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029331183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist