# PATCHOGUE PHARMACY, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SaluMed Pharmacy Patchogue
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891127346
- **Authorized official:** MR. TOMAS DIAZ RPH (PRESIDENT)
- **Authorized official phone:** (631) 438-8100

## Contact information

- **Practice address:** 176 W MAIN ST, PATCHOGUE, NY 11772-3004
- **Practice address phone:** (631) 438-8100
- **Practice address fax:** (631) 438-0738
- **Mailing address:** 176 W MAIN ST, PATCHOGUE, NY 11772-3004
- **Mailing address phone:** (631) 438-8100
- **Mailing address fax:** (631) 438-0738

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 036707 | NY | Yes |

## Other

- **Enumeration date:** 08/07/2013
- **Last updated:** 03/04/2014