Organization
ASICS PHARMACY INC
Active
Other names
ANDREWS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY BUBOLO (MANAGER)
(516) 248-7177
Entity
Organization
Contact information
Practice address
370 HILLSIDE AVE, WILLISTON PARK, NY 11596-2106
(516) 248-7177
(516) 248-7177
Mailing address
370 HILLSIDE AVE, WILLISTON PARK, NY 11596-2106
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
019438
NY
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01359035
—
NY
01
—
3397519
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
01/03/2007
Last updated
02/29/2008
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