Organization · NPI-2

Dedale Pharmacy INC

Pharmacy, Community/Retail Pharmacy · Valley Stream, NY

NPI number1649306044
StatusActive
Last updated in NPPESAug 31, 2016

Details

NPI
1649306044
Entity type
Organization (NPI-2)
Legal business name
Dedale Pharmacy INC
Organization subpart
No
Enumeration date
Feb 27, 2007
Last updated
Aug 31, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy022517NYYes
333600000X Pharmacy––
332B00000X Durable Medical Equipment & Medical Supplies––

Other names

  • Dale Drug (Doing Business As)

Practice location

531 W Merrick Rd
Valley Stream, NY 11580-5125

Phone 516-561-1222 · Fax 516-561-1223

Mailing address

531 W Merrick Rd
Valley Stream, NY 11580-5125

Phone 516-561-1222 · Fax 516-561-1223

Authorized official

Robert Devivo
Pres
5165611222

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