Provider Demographics
NPI:1801985247
Name:STRATTON SCARSDALE PHARMACY INC
Entity type:Organization
Organization Name:STRATTON SCARSDALE PHARMACY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:AIRO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:914-723-8558
Mailing Address - Street 1:1467 WEAVER ST
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-7018
Mailing Address - Country:US
Mailing Address - Phone:914-723-8558
Mailing Address - Fax:914-723-8581
Practice Address - Street 1:1467 WEAVER ST
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-7018
Practice Address - Country:US
Practice Address - Phone:914-723-8558
Practice Address - Fax:914-723-8581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021749333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy