Organization
NEW ISLAND PHARMACY INC
Active
Other names
NEW ISLAND PHARMACY INC.
Organization subpart
No
Provider details
NPI number
Authorized official
NIDHIN MOHAN (SUPERVISING PHARMACIST)
(631) 392-4800
Entity
Organization
Contact information
Practice address
1912 DEER PARK AVE, DEER PARK, NY 11729-3332
(631) 392-4800
(631) 392-4801
Mailing address
1912 DEER PARK AVE STE A, DEER PARK, NY 11729-3332
(631) 392-4800
(631) 392-4801
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
031408
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2136722
PK
—
05
—
6716630001
—
NY
Enumeration date
07/23/2012
Last updated
09/26/2014
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