Provider Demographics
NPI:1851306252
Name:DOBBS FERRY PHARMACY
Entity Type:Organization
Organization Name:DOBBS FERRY PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:
Authorized Official - Last Name:GLICKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PD
Authorized Official - Phone:914-693-3100
Mailing Address - Street 1:18 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:DOBBS FERRY
Mailing Address - State:NY
Mailing Address - Zip Code:10522-1721
Mailing Address - Country:US
Mailing Address - Phone:914-693-3100
Mailing Address - Fax:914-693-2277
Practice Address - Street 1:18 CEDAR ST
Practice Address - Street 2:
Practice Address - City:DOBBS FERRY
Practice Address - State:NY
Practice Address - Zip Code:10522-1721
Practice Address - Country:US
Practice Address - Phone:914-693-3100
Practice Address - Fax:914-693-2277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY15604183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty