Organization
MAPLE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ABREU (SP)
(516) 876-4900
Entity
Organization
Contact information
Practice address
570 WESTBURY AVE, CARLE PLACE, NY 11514-1708
(516) 876-4900
(516) 876-4912
Mailing address
570 WESTBURY AVE, CARLE PLACE, NY 11514-1708
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
025458
NY
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02339999
—
NY
Enumeration date
03/08/2007
Last updated
04/15/2008
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