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Organization
GREENVALE CHEMISTS AND SURGICAL SUPPLY CO
Active
Organization
GREENVALE CHEMISTS AND SURGICAL SUPPLY CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J RADUAZZO SR. BS,PH (OWNER)
(516) 621-2260
Entity
Organization
Contact information
Practice address
5 NORTHERN BLVD, GREENVALE, NY 11548-1204
(516) 621-2260
(516) 625-3843
Mailing address
5 NORTHERN BLVD, GREENVALE, NY 11548-1204
(516) 621-2260
(516) 625-3843
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3332171
NY
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00396745
—
NY
Enumeration date
02/08/2007
Last updated
08/11/2021
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