Provider Demographics
NPI:1861058497
Name:WINDSOR PHARMACY NORTH LLC
Entity type:Organization
Organization Name:WINDSOR PHARMACY NORTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHAIM
Authorized Official - Middle Name:
Authorized Official - Last Name:KURZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-813-9202
Mailing Address - Street 1:686 STONELEIGH AVE LOWR LEVEL
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:NY
Mailing Address - Zip Code:10512-3931
Mailing Address - Country:US
Mailing Address - Phone:914-732-8200
Mailing Address - Fax:
Practice Address - Street 1:686 STONELEIGH AVE LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:NY
Practice Address - Zip Code:10512-3931
Practice Address - Country:US
Practice Address - Phone:914-732-8200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-20
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY037341OtherNEW YORK BOARD OF PHARMACY