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Organization
VALUE VILLAGE II, LLC
Active
Organization
VALUE VILLAGE II, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN A CALAMIS (OWNER/PHARMACIST)
(631) 913-2700
Entity
Organization
Contact information
Practice address
270 PORTION RD, LAKE RONKONKOMA, NY 11779-2348
(631) 913-2700
(631) 913-0645
Mailing address
270 PORTION RD, LAKE RONKONKOMA, NY 11779-2348
(631) 913-2700
(631) 913-0645
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
026332
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02494388
—
NY
Enumeration date
08/05/2006
Last updated
07/15/2008
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