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Organization

BARDONIA PHARMACY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN MINA SAMUEL (OWNER/SUPERVISING PHARMACIST)
(845) 507-0555
Entity
Organization

Contact information

Practice address
301 ROUTE 304 STE 4, BARDONIA, NY 10954-2146
(845) 507-0555
(845) 507-0012
Mailing address
301 ROUTE 304 STE 4, BARDONIA, NY 10954-2146
(845) 507-0555
(845) 507-0012

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary

Other

Enumeration date
05/27/2024
Last updated
05/27/2024
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