Organization
LONG ISLAND PHARMACY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELONA DAVIDOVA (OWNER)
(516) 218-2654
Entity
Organization
Contact information
Practice address
1163A BROADWAY, HEWLETT, NY 11557-2321
(516) 218-2654
(516) 218-2655
Mailing address
1163A BROADWAY, HEWLETT, NY 11557-2321
(516) 218-2654
(516) 218-2655
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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