# TOMPKINSVILLE RX INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TOMPKINSVILLE PHARMACY - LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023801156
- **Authorized official:** NEHAL R PATEL (VICE PRESIDENT)
- **Authorized official phone:** (718) 727-0430

## Contact information

- **Practice address:** 45 VICTORY BLVD, STATEN ISLAND, NY 10301-2937
- **Practice address phone:** (718) 727-0430
- **Practice address fax:** (718) 727-0667
- **Mailing address:** 45 VICTORY BLVD, STATEN ISLAND, NY 10301-2937
- **Mailing address phone:** (718) 727-0430
- **Mailing address fax:** (718) 727-0667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/22/2025
- **Last updated:** 05/22/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 05628102 | — | NY |