Organization
PRINCE BAY PHARMACY
Active
Other names
PRINCES BAY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BAKER (OWNER PHARMACIST)
(718) 984-2113
Entity
Organization
Contact information
Practice address
59 SEGUINE AVE, STATEN ISLAND, NY 10309-3722
(718) 984-2113
(718) 948-1195
Mailing address
59 SEGUINE AVE, STATEN ISLAND, NY 10309-3722
(718) 984-2113
(718) 948-1195
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
014880
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00265361
—
NY
01
—
3304994
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/22/2006
Last updated
01/30/2013
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