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Organization
PATCHOGUE PHARMACY, INC
Active
Organization
PATCHOGUE PHARMACY, INC
Active
Other names
SaluMed Pharmacy Patchogue
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOMAS DIAZ RPH (PRESIDENT)
(631) 438-8100
Entity
Organization
Contact information
Practice address
176 W MAIN ST, PATCHOGUE, NY 11772-3004
(631) 438-8100
(631) 438-0738
Mailing address
176 W MAIN ST, PATCHOGUE, NY 11772-3004
(631) 438-8100
(631) 438-0738
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
036707
NY
Other
Enumeration date
08/07/2013
Last updated
03/04/2014
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