# SISTERS OF ST. JOSEPH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MARIA REGINA CONVENT PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265455257
- **Authorized official:** THOMAS TWOMEY (PHARMACY MGR)
- **Authorized official phone:** (631) 299-3029

## Contact information

- **Practice address:** 1725 BRENTWOOD RD, BRENTWOOD, NY 11717-5543
- **Practice address phone:** (631) 299-3029
- **Practice address fax:** (631) 952-2378
- **Mailing address:** 1725 BRENTWOOD RD, BRENTWOOD, NY 11717-5543

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 013318 | NY | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 09/29/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01668184 | — | NY |
| 01 | — | 3320619 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |