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Organization
TOMPKINSVILLE PHARMACY INC
Active
Organization
TOMPKINSVILLE PHARMACY INC
Active
Other names
Ligett Rexall Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ESAR GANGADIN PHARMACIST (PRESIDENT PHARMACIST)
(718) 727-0430
Entity
Organization
Contact information
Practice address
45 VICTORY BLVD, STATEN ISLAND, NY 10301
(718) 727-0430
(718) 727-0667
Mailing address
45 VICTORY BLVD, STATEN ISLAND, NY 10301
(718) 727-0430
(718) 727-0667
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
037479
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02325464
—
NY
01
—
3321560
NABP
—
Enumeration date
01/09/2007
Last updated
08/22/2020
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