Provider Demographics
NPI:1699746297
Name:STONE'S PHARMACY INC.
Entity type:Organization
Organization Name:STONE'S PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LEIGH
Authorized Official - Middle Name:H
Authorized Official - Last Name:MCCONCHIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-696-3214
Mailing Address - Street 1:PO BOX 310
Mailing Address - Street 2:
Mailing Address - City:LAKE LUZERNE
Mailing Address - State:NY
Mailing Address - Zip Code:12846-0310
Mailing Address - Country:US
Mailing Address - Phone:518-696-3214
Mailing Address - Fax:518-696-5192
Practice Address - Street 1:1 MAIN ST
Practice Address - Street 2:
Practice Address - City:LAKE LUZERNE
Practice Address - State:NY
Practice Address - Zip Code:12846
Practice Address - Country:US
Practice Address - Phone:518-696-3214
Practice Address - Fax:518-696-5192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-31
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013811333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00488160Medicaid
NY00488160Medicaid