Organization
S & D PHARMACY INC
Active
Other names
TRI TOWN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DONG HEE KIM BS/MS/RPH (PRES/PHARM)
(516) 593-9350
Entity
Organization
Contact information
Practice address
493 SUNRISE HWY, LYNBROOK, NY 11563-3017
(516) 593-9350
(516) 599-9614
Mailing address
493 SUNRISE HWY, LYNBROOK, NY 11563-3017
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
017908
NY
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00813612
—
NY
01
—
3378658
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/12/2006
Last updated
06/19/2008
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