Long Island Pharmacy Corp
Pharmacy, Long Term Care Pharmacy in Hewlett, NY. Organization (NPI-2).
NPI number1104749522
StatusActive
Last updated in NPPESAug 3, 2026
Details
- NPI
- 1104749522
- Entity type
- Organization (NPI-2)
- Legal business name
- Long Island Pharmacy Corp
- Organization subpart
- No
- Enumeration date
- Aug 3, 2026
- Certification date
- Aug 3, 2026
- Last updated
- Aug 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – | Yes |
| 3336H0001X | Pharmacy, Home Infusion Therapy Pharmacy | – | – |
Practice location
1163a BroadwayHewlett, NY 11557-2321
Phone 516-218-2654 · Fax 516-218-2655
Mailing address
1163a BroadwayHewlett, NY 11557-2321
Phone 516-218-2654 · Fax 516-218-2655
Authorized official
Elona Davidova
Owner
5162182654
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