Organization
POPULAR PHARMACY INC
Active
Other names
BROOKHAVEN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MUKESH PATEL (PRESIDENT)
(631) 475-6666
Entity
Organization
Contact information
Practice address
350 E MAIN ST STE 8, PATCHOGUE, NY 11772-3100
(631) 475-6666
(631) 768-9049
Mailing address
350 8 E MAIN ST, PATCHOGUE, NY 11772
(631) 475-6666
(631) 768-9049
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
017823
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00775993
—
NY
01
—
2061796
PK
—
Enumeration date
08/10/2006
Last updated
02/16/2017
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