Organization
EMNICO RX INC
Active
Other names
Dorado Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DON LEE PHARMD (PHARMACIST)
(929) 500-6836
Entity
Organization
Contact information
Practice address
1440 FOREST AVE, STORE 5, STATEN ISLAND, NY 10302-2235
(631) 380-3800
(631) 380-3688
Mailing address
1440 FOREST AVE, STORE 5, STATEN ISLAND, NY 10302-2235
(631) 380-3800
(631) 380-3688
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
08/11/2021
Last updated
10/07/2021
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