Organization
MEACHAM PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA BENINCASA R PH BS (S P)
(516) 354-2950
Entity
Organization
Contact information
Practice address
107 MEACHAM AVE, ELMONT, NY 11003-2630
(516) 354-2950
(516) 354-3375
Mailing address
107 MEACHAM AVE, ELMONT, NY 11003-2630
(516) 354-2950
(516) 354-3375
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
015262
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00378083
—
NY
01
—
3353923
OTHER ID NUMBER
—
Enumeration date
09/14/2006
Last updated
09/19/2013
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