# ST. MARY'S HOSPITAL PHARMACY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538476924
- **Authorized official:** MS. FREDERIQUE ALTIDOR (MANAGER)
- **Authorized official phone:** (718) 281-8688

## Contact information

- **Practice address:** 2901 216TH ST, BAYSIDE, NY 11360-2810
- **Practice address phone:** (718) 281-8799
- **Practice address fax:** (516) 570-4099
- **Mailing address:** 2901 216TH ST, BAYSIDE, NY 11360-2810

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 00199599 | NY | Yes |

## Other

- **Enumeration date:** 09/07/2010
- **Last updated:** 01/19/2011