Organization
FAR ROCKAWAY DRUGS INC
Active
Other names
OCEAN PARK DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN BLICK (PHCY SUPERVISOR)
(718) 471-2500
Entity
Organization
Contact information
Practice address
17 27 SEAGIRT BLVD, FAR ROCKAWAY, NY 11691
(718) 471-2500
(718) 471-0840
Mailing address
17 27 SEAGIRT BLVD, FAR ROCKAWAY, NY 11691
(718) 471-2500
(718) 471-0840
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
027366
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2064281
PK
—
05
—
2664611
—
NY
01
—
33D2204084
LIMITED SERVICES LABORATORY REGISTRATION
NY
Enumeration date
05/23/2006
Last updated
01/11/2022
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