Organization
MIDWAY DRUGS
Active
Other names
MIDWAY DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE MERCARDANTE (VP)
(516) 997-8330
Entity
Organization
Contact information
Practice address
822 CARMAN AVE, WESTBURY, NY 11590-6428
(516) 997-8330
(516) 997-1994
Mailing address
822 CARMAN AVE, WESTBURY, NY 11590-6428
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
014577
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00383308
—
NY
01
—
3316393
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/12/2007
Last updated
02/20/2009
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