Organization
MGE PHARMACY INC
Active
Other names
DUTCH BROADWAY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD AMORUSO (PRESIDENT PHARM)
(516) 825-3177
Entity
Organization
Contact information
Practice address
1785 DUTCH BROADWAY, ELMONT, NY 11003-5044
(516) 825-3177
(516) 825-1129
Mailing address
267 N HAWTHONE ST, MASSAPEQUA, NY 11758
(516) 825-3177
(516) 825-1129
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
011973
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00263805
—
NY
01
—
2058276
PK
—
Enumeration date
07/30/2006
Last updated
04/01/2016
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