Organization
STATE OF NEW YORK COMPTROLLERS OFFICE
Active
Other names
SUNY at Stony Brook UNIVERSITY Infirmary Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANJAY DAVE RPH (SUPERVISING PHARMACIST)
(631) 632-6804
Entity
Organization
Contact information
Practice address
1 STADIUM RD, STONY BROOK, NY 11794-3191
(631) 632-6804
(631) 632-6936
Mailing address
1 STADIUM RD, STONY BROOK, NY 11794-3191
(631) 632-6804
(631) 632-6936
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
014702
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3357212
NCPDP
NY
Enumeration date
03/30/2007
Last updated
04/09/2024
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