Organization · NPI-2
Stony Brook Pharmacy
Pharmacy, Community/Retail Pharmacy · Stony Brook, NY
NPI number1609804269
StatusActive
Last updated in NPPESOct 28, 2014
Details
- NPI
- 1609804269
- Entity type
- Organization (NPI-2)
- Legal business name
- Stony Brook Pharmacy
- Organization subpart
- No
- Enumeration date
- Jun 30, 2006
- Last updated
- Oct 28, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 018464 | NY | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Medical Park Drug And Surgical (Doing Business As)
Practice location
2500 Nesconset HwySte 3 A
Stony Brook, NY 11790-2555
Phone 631-751-4477 · Fax 631-751-4962
Mailing address
2500 Nesconset HwySte 3 A
Stony Brook, NY 11790-2555
Phone 631-751-4477 · Fax 631-751-4962
Authorized official
Max Salvatore
Owner
6317514477
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.