Organization
AMBA PHARMACY CORP
Active
Other names
arlyn pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY GERSTEN J.D.,RPH (CEO)
(631) 665-8660
Entity
Organization
Contact information
Practice address
753 COMMACK RD, BRENTWOOD, NY 11717-7407
(631) 665-8660
(631) 666-6356
Mailing address
753 COMMACK RD, BRENTWOOD, NY 11717-7407
(631) 665-8660
(631) 666-6356
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
026845
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01592658
—
NY
Enumeration date
11/06/2005
Last updated
08/22/2020
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