Provider Demographics
NPI:1144883745
Name:SIDNEY PHARMACY INC
Entity type:Organization
Organization Name:SIDNEY PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:OGAGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-837-7823
Mailing Address - Street 1:30 WESTMINSTER CT
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-3107
Mailing Address - Country:US
Mailing Address - Phone:914-837-7823
Mailing Address - Fax:
Practice Address - Street 1:122 GRAMATAN AVE
Practice Address - Street 2:
Practice Address - City:MT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550-1206
Practice Address - Country:US
Practice Address - Phone:914-371-1967
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-18
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy