Organization
SOUTHOLD PHARMACY INC
Active
Other names
SOUTHOLD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PAULETTE OFRIAS (OWNER)
(631) 765-3434
Entity
Organization
Contact information
Practice address
53895 MAIN RD, SOUTHOLD, NY 11971-4644
(631) 765-3434
(631) 765-4395
Mailing address
PO BOX 1177, SOUTHOLD, NY 11971-0957
(631) 765-3434
(631) 765-4395
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
010139
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2064071
PK
—
Enumeration date
10/25/2006
Last updated
02/21/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us