# CLINICAL PHARMACY CONSULT, LLC

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

## Provider details

- **NPI number:** 1548406119
- **Authorized official:** ROBERT KENNEDY AWADALLAH R.PH, MBA (MEMBER MANAGER)
- **Authorized official phone:** (516) 376-6412

## Contact information

- **Practice address:** 134 EVELYN RD, MINEOLA, NY 11501-3206
- **Practice address phone:** (516) 376-6412
- **Mailing address:** 734 FRANKLIN AVE, \#665, GARDEN CITY, NY 11530-4525
- **Mailing address phone:** (516) 376-6412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 046732 | NY | Yes |

## Other

- **Enumeration date:** 01/01/2009
- **Last updated:** 01/09/2009