Provider Demographics
NPI:1821233727
Name:FWS PHARMACY CONSULTING, INC.
Entity type:Organization
Organization Name:FWS PHARMACY CONSULTING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:EVA-MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FODERA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:516-286-9110
Mailing Address - Street 1:14 PINERIDGE RD
Mailing Address - Street 2:
Mailing Address - City:GREENVALE
Mailing Address - State:NY
Mailing Address - Zip Code:11548-1118
Mailing Address - Country:US
Mailing Address - Phone:516-286-9110
Mailing Address - Fax:
Practice Address - Street 1:14 PINERIDGE RD
Practice Address - Street 2:
Practice Address - City:GREENVALE
Practice Address - State:NY
Practice Address - Zip Code:11548-1118
Practice Address - Country:US
Practice Address - Phone:516-286-9110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-05
Last Update Date:2008-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046097320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities