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Organization

SOUTH SHORE UNIVERSITY HOSPITAL

Active
Other names
Vivo Health Pharmacy at South Shore
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DONNA DRUMMOND (SVP, CHIEF EXPENSE OFFICER)
(631) 894-5775
Entity
Organization

Contact information

Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 894-5775
(631) 894-5781
Mailing address
1983 MARCUS AVE STE 118, NEW HYDE PARK, NY 11042-1016
(631) 894-5775
(631) 894-5781

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
035763
NY
3336S0011X
Specialty Pharmacy

Other

Enumeration date
10/18/2017
Last updated
02/13/2025
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