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
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
06/19/2024
Last updated
12/04/2024
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