# BARKERS PHARMACY INC.

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

## Provider details

- **NPI number:** 1740321967
- **Authorized official:** MR. DEMETRIOS MICHAELIDES (OWNER SUPERVISING PHARMACIST)
- **Authorized official phone:** (631) 298-8666

## Contact information

- **Practice address:** 195 LOVE LANE, MATTITUCK, NY 11952-0989
- **Practice address phone:** (631) 298-8666
- **Practice address fax:** (631) 298-5616
- **Mailing address:** PO BOX 1443, 195 LOVE LANE, MATTITUCK, NY 11952-0989
- **Mailing address phone:** (631) 298-8666
- **Mailing address fax:** (631) 298-5616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 006613 | NY | Yes |

## Other

- **Enumeration date:** 02/09/2007
- **Last updated:** 06/13/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00623818 | — | NY |
| 01 | — | 3335862 | NCPDP | NY |