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Organization
FIVE TOWNS PHARMACY INC
Active
Organization
FIVE TOWNS PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAUD ANSARI BS (OWNER)
(516) 374-2930
Entity
Organization
Contact information
Practice address
1019 BROADWAY, WOODMERE, NY 11598-1227
(516) 374-2930
(516) 374-0143
Mailing address
1019 BROADWAY, WOODMERE, NY 11598
(516) 374-2930
(516) 374-0143
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
039031
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02040191
—
NY
Enumeration date
01/19/2007
Last updated
06/21/2011
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