Organization
PDP PHARMACY INC
Active
Other names
Express Rx
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA MATHEW (PRESIDENT)
(516) 761-2406
Entity
Organization
Contact information
Practice address
493 SUNRISE HWY, LYNBROOK, NY 11563-3017
(516) 593-9350
(516) 599-9614
Mailing address
493 SUNRISE HWY, LYNBROOK, NY 11563-3017
(516) 593-9350
(516) 599-9614
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
029282
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3359709
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/14/2009
Last updated
05/31/2011
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