Organization
BOULEVARD PHARMACY CORP
Active
Other names
GARDEN CITY FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PASQUALE MINUTO (PRESIDENT)
(516) 505-7979
Entity
Organization
Contact information
Practice address
10 NASSAU BLVD SO, GARDEN CITY, NY 11530
(516) 505-7979
(516) 505-7981
Mailing address
10 NASSAU BLVD SO, GARDEN CITY, NY 11530
(516) 505-7979
(516) 505-7981
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
028612
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03069647
—
NY
01
—
3355737
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/31/2007
Last updated
07/01/2011
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