# PURECARE PHARMACY AND WELLNESS INC

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

## Provider details

- **NPI number:** 1578379996
- **Authorized official:** TOM AMIGDALOS R.PH (PRESIDENT)
- **Authorized official phone:** (516) 277-2668

## Contact information

- **Practice address:** 65 GLEN COVE RD, GREENVALE, NY 11548-1007
- **Practice address phone:** (516) 277-2668
- **Practice address fax:** (516) 277-2671
- **Mailing address:** 65 GLEN COVE RD, GREENVALE, NY 11548-1007
- **Mailing address phone:** (914) 330-1499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/10/2024
- **Last updated:** 12/10/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 041166 | PHARMACY LICENSE | NY |