Organization
SISTERS OF ST. JOSEPH
Active
Other names
MARIA REGINA CONVENT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS TWOMEY (PHARMACY MGR)
(631) 299-3029
Entity
Organization
Contact information
Practice address
1725 BRENTWOOD RD, BRENTWOOD, NY 11717-5543
(631) 299-3029
(631) 952-2378
Mailing address
1725 BRENTWOOD RD, BRENTWOOD, NY 11717-5543
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
013318
NY
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01668184
—
NY
01
—
3320619
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/25/2006
Last updated
09/29/2008
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