Organization
TOWN TOTAL HEALTH, LLC
Active
Other names
Meijer Pharmacy #459, Meijer Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL A VALENTI (CFO)
(631) 386-1204
Entity
Organization
Contact information
Practice address
415 CROSSWAYS PARK DRIVE, SUITE A, WOODBURY, NY 11797
(516) 249-7400
(516) 249-7400
Mailing address
2929 WALKER AVE. NW, GRAND RAPIDS, MI 49544-6402
(616) 791-2829
(616) 735-8532
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
031852
NY
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03563164
—
NY
01
—
2140160
PK
—
05
—
2314881
—
NY
Enumeration date
01/22/2013
Last updated
09/24/2020
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