Independent Otc Corporation
Pharmacy, Community/Retail Pharmacy in Holbrook, NY. Organization (NPI-2).
NPI number1578660403
StatusActive
Last updated in NPPESNov 7, 2011
Details
- NPI
- 1578660403
- Entity type
- Organization (NPI-2)
- Legal business name
- Independent Otc Corporation
- Organization subpart
- No
- Enumeration date
- Sep 20, 2006
- Last updated
- Nov 7, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 024831 | NY | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Friendly Drugs (Doing Business As)
Practice location
1036 Main StHolbrook, NY 11741-1606
Phone 631-585-8585 · Fax 631-585-8038
Mailing address
1036 Main StHolbrook, NY 11741-1606
Phone 631-585-8585 · Fax 631-585-8038
Authorized official
Frederick Ammirati
Owner
6315858585
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