Organization
CVS HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOHUM MANDIL PHARM.D (PHARMACIST)
(914) 268-1955
Entity
Organization
Contact information
Practice address
201 GLEN ST, GLEN COVE, NY 11542-2734
(718) 555-2424
(516) 525-1142
Mailing address
201 GLEN ST, GLEN COVE, NY 11542-2734
(914) 759-5555
(914) 759-5556
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
059623
NY
3336C0003X
Community/Retail Pharmacy
Primary
059623
NY
Other
Enumeration date
01/22/2015
Last updated
02/17/2015
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