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Organization
TOTAL HEALTH & BEAUTY PHARMACY
Active
Organization
TOTAL HEALTH & BEAUTY PHARMACY
Active
Other names
GREAT LAKES DRUG COMPANY
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN ROTSTEIN RPH (SUPV PHRM)
(212) 942-8785
Entity
Organization
Contact information
Practice address
4873 BROADWAY, NEW YORK, NY 10034-3134
(212) 942-8785
(212) 942-8791
Mailing address
4873 BROADWAY, NEW YORK, NY 10034-3134
(212) 942-8785
(212) 942-8791
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
022920
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3338680
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/11/2007
Last updated
06/09/2010
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